| NPI | 1366115131 |
|---|---|
| Doing Business As | ACTDENTAL,INC |
| Doing Business As | ACT DENTAL, INC |
| Entity Type | Organization |
| Authorized Contact | ANNETTE THEOFILOS President Of Corporation 724-346-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-28 |