| NPI | 1871961524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAMS Owner 610-619-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |