| NPI | 1760522544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN V. MULLEN Owner 215-699-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS025133L) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |