NPI | 1346306149 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES DOUGLAS RATHFON President 724-282-4581 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS019441L) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2020-08-22 |