| NPI | 1205053980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE B KOBIL Manager 724-282-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS025957L) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |