NPI | 1073093233 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURIE D. FRANK Office Manager 412-367-3020 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS022496L) |
Enumeration Date | 2018-08-17 |
Last Update Date | 2018-08-17 |