NPI | 1922064773 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN MICHAEL GOULD President 610-253-3593 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2006-04-21 |
Last Update Date | 2020-08-22 |