| NPI | 1407947344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLAN KEITH ROSS Dentist 724-349-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS018712L) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-07-21 |