| NPI | 1477883429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CASTILLO CFO 412-647-7713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: PA DS037519) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: PA DS027386L) |
| 261QD0000X Clinic/Center Dental (Licence: PA DS030969L) | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |