| NPI | 1487992517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL T SMATLAK Doctor 814-938-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS020705-L) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-25 |