| NPI | 1992713796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA KORNBROT President 215-563-6263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS021370L) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-03-20 |