| NPI | 1144201401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARTOS Director Personnel/Finance 724-632-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 126800000X Dental Assistant | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2008-04-17 |