| NPI | 1104995646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS PAUL MARCELLI President 724-523-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS023747L) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2013-02-08 |