| 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 |