| NPI | 1366114928 |
|---|---|
| Former Legal Business Name | PEDIATRIC DENTISTRY OF ERIE |
| Entity Type | Organization |
| Authorized Contact | DAVID SHAPTER Owner Member 814-868-8673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-10-01 |