NPI | 1073707592 |
---|---|
Entity Type | Organization |
Authorized Contact | LIONEL L CARLOS Owner 412-264-0606 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA 028298L) |
Enumeration Date | 2007-08-28 |
Last Update Date | 2008-04-04 |