| NPI | 1497448724 |
|---|---|
| Other Name | LECOM DENTAL OFFICE AT MCH |
| Entity Type | Organization |
| Authorized Contact | STEVEN GREGORY INMAN VP Fiscal Affairs/CFO 814-868-8258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |