| NPI | 1457853210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE MARLOW Credentialing Supervisor 724-698-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-17 |