| NPI | 1881749828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN M GORDON Office Manager 215-752-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS018032L) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |