| NPI | 1982081063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN KENNEY Dentist 610-432-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA 036057) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |