| NPI | 1285829028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BARCELLONA CFO 412-692-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA 291201) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA 291201) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2018-07-31 |