| NPI | 1770614174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE HEINBACH President 215-943-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA 19191) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-07-21 |