| NPI | 1083103311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A CAVALANCIA Owner/Doctor 724-463-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS023571L) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS039961) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS041199) | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |