| NPI | 1902051535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PROLAY KUMAR PAUL Partner 215-627-4290 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS037098) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 122300000X Dentist (Licence: PA DS037088) | |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2009-12-18 |