| NPI | 1992750657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD VINCENT HARTZELL Dentist President 610-867-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DSO16176L) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |