| NPI | 1912951138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY M RAMBO CEO President 610-644-6497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS017526L) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS023677L) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS0277729L) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |