| NPI | 1851432298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NONI MASTRA Financial Director 215-747-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS021445L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS036815) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |