| NPI | 1780817650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW K CHERIAN President 215-635-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA ds035070) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |