| NPI | 1891828893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN B WASKO Employer 215-672-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA ds026266l) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |