| NPI | 1811449374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY GOLDSLEGER President 610-337-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |