| NPI | 1881884864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY NOBLE Office Manager 215-564-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DSO29611L) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |