| NPI | 1144747601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C CHAKLOS Sole Member 412-682-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS-019209-L) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |