| NPI | 1003026808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M PETRUSKA Owner 412-854-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS026926L) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |