| NPI | 1477917706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRAVANTHI GANNE President 412-913-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: FL DN19304) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |