| NPI | 1851500458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES D. FULP President 215-257-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS0169965L) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |