| NPI | 1447420120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE E WATTERS III DMD Owner Dentist 724-652-9843 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS018178L) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: PA DS018178L) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-04-24 |