| NPI | 1730587973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL H LOCKER Owner / Dentist 814-693-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ DS025561L) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |