NPI | 1790786317 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL A BIANCHI President 610-527-3110 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS023823L) |
Enumeration Date | 2005-08-04 |
Last Update Date | 2020-08-22 |