NPI | 1982850822 |
---|---|
Doing Business As | SHELBOURNE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JAMES VINCENT CORTELLESSA President 610-779-0610 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS026922L) |
Enumeration Date | 2008-08-12 |
Last Update Date | 2008-08-12 |