| NPI | 1215966460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD SCOTT Manager 412-692-6805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS031029L) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2018-07-31 |