| NPI | 1790031623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEEBA SHAJU Dental Director 484-237-4054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS038352) |
| Enumeration Date | 2012-07-29 |
| Last Update Date | 2012-07-29 |