| NPI | 1801092036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PAUL FRICKER President 215-362-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PA ds-020692-L) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2010-06-29 |