| NPI | 1457360018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS VICTOR PINEO Owner 814-734-4451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS035169) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |