| NPI | 1780992032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP STEIN Dentist 215-739-5206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA DS026784L) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |