NPI | 1952744260 |
---|---|
Entity Type | Organization |
Authorized Contact | TOM WATSON Owner/Dentist 610-356-8011 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DSO-27446L) |
Enumeration Date | 2013-04-17 |
Last Update Date | 2013-04-17 |