| NPI | 1801939012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON E WILSON Owner 215-324-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS018692-L) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-04-08 |