| NPI | 1053861799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN DEISROTH BARRONER President, Owner 724-260-5009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2024-04-04 |