NPI | 1518618875 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN MCMAHON CEO 412-370-9875 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223P0300X Dentist, Periodontics | |
124Q00000X Dental Hygienist | |
Enumeration Date | 2022-01-18 |
Last Update Date | 2022-01-18 |