| NPI | 1841852241 |
|---|---|
| Doing Business As | UNIVERSITY CITY PENNSYLVANIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | RICHARD VICTOR EIDELSON President 215-921-5508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |