| NPI | 1285655514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS GRANT CARR Dentist 724-746-6860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS029389-L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS029393-L) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |