| NPI | 1184632473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY DAWN HOSTETLER Dentist 724-438-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS030210L) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |