| NPI | 1053369835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD P SKALOSKY Owner 724-652-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: PA DS028925L) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |