| NPI | 1003214479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J VALLANO Dentist 724-832-1420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: PA DS-019500-L) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |