| NPI | 1891023263 |
|---|---|
| Doing Business As | I-DENTICAL |
| Entity Type | Organization |
| Authorized Contact | RAMON IVAN LUGO President 215-923-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA dS029647L) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |