| NPI | 1891264578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY CHRISTINE SHERPA Owner 610-572-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-11-25 |
| Last Update Date | 2024-04-30 |