NPI | 1194911842 |
---|---|
Entity Type | Organization |
Authorized Contact | IRA DAVID ATCHESON President 724-728-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS-017928-L) |
Enumeration Date | 2007-09-17 |
Last Update Date | 2007-09-17 |