| NPI | 1750816658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL O NNADIUGWU Owner 484-802-4619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28871) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |