| NPI | 1154526374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOSEPH GRADISEK Owner 724-728-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS022287-L) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |