| NPI | 1447388590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD J. HANEY Oral Surgeon 814-234-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: PA DS017187L) |
| Additional Taxonomies | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: PA DS024017L) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2013-02-05 |