| NPI | 1457877862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH C SCHLOSS Owner 814-835-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS023531L) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |