| NPI | 1790015287 |
|---|---|
| Other Name | CENTER FOR FAMILY & COSMETIC DENTISTRY AT BROOKHAVEN |
| Entity Type | Organization |
| Authorized Contact | DINESH S TEWARI President 610-457-5671 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS0 35539) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |