| NPI | 1891874392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J LANG Soc Pc 610-865-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS019102L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS015656L) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |