| NPI | 1922187517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER OKUMU NGAJI-OKUMU Owner 610-466-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: PA DS036492) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2011-10-07 |