| NPI | 1821308487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M REED Office Manager 215-482-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: PA DS035533) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |