| NPI | 1043392855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE TERESA SMITH Administrative Coordinator 412-648-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: PA DS027010L) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS029690L) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |