| NPI | 1932856242 |
|---|---|
| Doing Business As | COLLEGE PARK DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | R PATRICIA HOWER Credentialing Specialist 215-798-4027 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |