| NPI | 1104004084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL STUART ROZEN Owner 724-239-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS-027065-L) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2019-06-20 |