| NPI | 1841464468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE FOOTE Owner 215-513-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS036430) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |