NPI | 1891729729 |
---|---|
Entity Type | Organization |
Authorized Contact | BHARATHI REDDY President 215-497-1002 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD DS031059L) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2020-08-22 |