| NPI | 1831423425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJAN SHAFIEYAN Dental Hygienist 215-499-3537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS029768L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS029267L) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |