| NPI | 1033283841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PAUL MILLER Owner President 724-282-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: PA DS020150L) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: PA DS029596L) |
| 204E00000X Oral & Maxillofacial Surgery (Licence: PA DS019428L) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |