NPI | 1528239787 |
---|---|
Doing Business As | FAMILY & COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | LEVI R EVALT Dentist 814-725-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2008-03-17 |
Last Update Date | 2008-03-17 |