| NPI | 1932254539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CHARLES STAUFFER President 610-435-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS018823L) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |