| NPI | 1518189190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A. MINCHAU President 814-255-6831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS017849L) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-09-01 |