| NPI | 1871635425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN B WASKO Dentist Owner 215-331-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS026266L) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |