| NPI | 1578016689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY GRATSON President/Owner 724-601-6951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS038715) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |