| NPI | 1871618942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK LEDDY Secretary 610-372-7218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS020420L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS022255L) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |