| NPI | 1740429513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHASSAN ASSALI Officer 610-351-6285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS029660L) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |