| NPI | 1124360557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICHARD CLOPP Owner 724-776-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS029785-L) |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2022-02-14 |