| NPI | 1902297823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM ROSTAMI Partner Dentist 215-575-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS039480) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS039657) |
| 124Q00000X Dental Hygienist (Licence: PA DH071243) | |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |