NPI | 1164432142 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD J. ROMAN President 724-228-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS019941L) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2020-08-22 |