| NPI | 1821519752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER TAKACS Owner/Dentist 215-271-7259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: PA DS039780) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-06-30 |