| NPI | 1912037490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CARLO LEONARD President Dentist 215-567-0521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS018925L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS017538L) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |