| NPI | 1548308133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN VERY President 724-935-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: PA DS026656L) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: OH 20271) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-08-22 |