| NPI | 1780705475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER T DILEO Owner 610-821-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: PA DS014226L) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: PA DS027267L) |
| 207L00000X Anesthesiology (Licence: PA DA014226A) | |
| 207L00000X Anesthesiology (Licence: PA DA027267A) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |