| NPI | 1740320308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSEL T BECHTLOFF Owner 215-750-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-06-16 |