NPI | 1184978587 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD REICHEL Owner/President 814-459-8219 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine |
Enumeration Date | 2012-11-07 |
Last Update Date | 2013-03-07 |