NPI | 1871869461 |
---|---|
Doing Business As | BROOKHAVEN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANVARALI MOHAMMADH President 610-872-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS038385) |
Enumeration Date | 2012-03-28 |
Last Update Date | 2012-03-28 |