| NPI | 1477946119 |
|---|---|
| Former Legal Business Name | CHETLIN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JEFFREY D CHETLIN Owner 412-421-5112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: PA DS027521L) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |