| NPI | 1891210894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANN SMITH Office Manager 610-358-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS023512L) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2022-07-21 |