| NPI | 1790044535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA VETTRAINO Endodontist/Owner 215-755-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS037946) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-15 |