| NPI | 1013999465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARTOS Director Of Finance/Personnel 724-632-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 126800000X Dental Assistant |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2008-04-17 |