| NPI | 1831426196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J. FOX President 215-481-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2020-08-03 |