| NPI | 1821753021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKUS STEVEN HILL Owner/Authorized Official 610-360-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2024-07-21 |