| NPI | 1942448584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ROSEN President 215-757-1197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS028245L) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |