| NPI | 1801388418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG SOFFER Dentist 215-943-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS030384L) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |