| NPI | 1831426170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHREYAS SHAH Dentist 215-632-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS037088) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS037098) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2009-11-06 |