| NPI | 1922669720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE LEONI Owner 215-887-7617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2025-09-22 |