| NPI | 1487086831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANSINE M JOHNSON Owner 412-431-3497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS027345L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS030870L) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |