NPI | 1205360377 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHISH VAKHARIA Owner 412-716-7907 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013218) |
Additional Taxonomies | 122300000X Dentist (Licence: GA DN010318) |
1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN015112) | |
Enumeration Date | 2017-04-17 |
Last Update Date | 2017-04-17 |