NPI | 1902373111 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER MCKAMEY Credentialing Specialist 215-467-3190 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2018-10-25 |
Last Update Date | 2018-10-26 |