NPI | 1902208739 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON BRESLER Owner 215-677-0380 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2014-09-24 |
Last Update Date | 2017-04-12 |