| NPI | 1730924366 |
|---|---|
| Doing Business As | NAVY YARD DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JOYCE LYNN RICKS Credentialing 610-803-3745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |