| NPI | 1114386513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENG CHENG Owner/Dentist 814-942-4699 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS038278) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2018-08-31 |