| NPI | 1417080193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A SENIOR Dentist 814-238-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS021940-L) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |