| NPI | 1447422282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH KAY SMITH Treasurer 724-981-8421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS026869L) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |