| NPI | 1982031076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE L O'BRIEN Business Manager 610-962-0193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS026236L) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2017-03-20 |