NPI | 1578767463 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN BENTLEJEWSKI Office Manager 724-223-0579 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS030642L) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA DA031589) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2019-12-16 |