| NPI | 1821280272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE C HERNANDEZ Owner 610-869-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS036040) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |