| NPI | 1811531114 |
|---|---|
| Doing Business As | PRIME DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PATHIK SHAH Officer 215-742-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2021-05-06 |