| NPI | 1245877141 |
|---|---|
| Former Legal Business Name | FALLERONI DENTAL, LLC |
| Entity Type | Organization |
| Authorized Contact | CAROLYN MARIE FALLERONI Office Manager 724-222-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |