| NPI | 1801110812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL V BROGNA Owner 215-638-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA ds027317) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA ds035996) |
| 122300000X Dentist (Licence: PA ds036855) | |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-03-19 |