| 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 |