| NPI | 1336554765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY LYNN ROTZ Dentist/Sole Proprietor 724-935-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PA DS025256-L) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |