| NPI | 1942504857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD BAKER RAWLINS President & Treasurer 484-467-5795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |