| NPI | 1972994010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA OGAN Dentist/ Owner 215-632-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS039391) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |