| NPI | 1912243106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY FARROW Owner 215-569-9060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS0242) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |