NPI | 1346485265 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH HERMAN GOTH President 412-262-5091 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: PA MD033127E) |
Enumeration Date | 2008-12-05 |
Last Update Date | 2008-12-05 |