| NPI | 1952034589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARSHIL BOGHARA Owner 215-946-3655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-08-19 |