| NPI | 1548320559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE J PAPPERT President 814-535-7894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS16788L) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS26517L) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |