| NPI | 1003997370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PINE Orthodontist 814-237-1751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-07-21 |