| NPI | 1265479638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN L ENGROFF President 814-238-0587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2022-10-24 |