| NPI | 1740447978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRANCIS CARABELLO Owner 215-884-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS016125L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS023521L) |
| 1223G0001X Dentist, General Practice (Licence: PA DS012731L) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |