| NPI | 1912292939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM VOGT President 610-252-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA ds022412L) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |