NPI | 1801015292 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA H GRIGGS Administrative Supervisor 215-348-9521 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2007-04-24 |
Last Update Date | 2013-09-10 |