| NPI | 1801814728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN LAWRENCE KROCHTENGEL Owner 215-639-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PA DS-025192-L) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |