| NPI | 1760558894 |
|---|---|
| Other Name | INDIAN VALLEY DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | SPENCER JARED GROSSMAN Owner 215-704-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS021793L) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-02-10 |