| NPI | 1245639129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ROBERT SROKA Owner 814-255-6831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS038685) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |