| NPI | 1265890925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LUE BENKO Owner 724-586-2955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS028902L) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |