| NPI | 1467127563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRICK BROWN President 724-272-6748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |