| NPI | 1851417984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GALEONE Dentist Owner 215-855-4092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS016691L) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS021532L) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS029153L) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS017366L) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |