| NPI | 1063601953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC M VAN DAMIA Owner President 814-866-2550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS031057L) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |