NPI | 1508471913 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN L. SUPOWITZ President 412-687-3232 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2020-09-11 |
Last Update Date | 2020-09-11 |