| NPI | 1114024775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE SOHN Member 412-716-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS035264) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-08-22 |