| NPI | 1043626450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEON JEANMENNE Owner, President 814-238-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS035349) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |