| NPI | 1992070791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M SMITH Doctor 610-296-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA 05026265L) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: PA 05026234L) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-07-19 |