| NPI | 1891800413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CRAIG MESHKOV Dentist President 215-535-0874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS022657L) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |