| NPI | 1497927008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER HLAUDY President 814-373-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: PA DS036480) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2023-05-03 |