| NPI | 1578780326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MARC BARBER President 724-498-0491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS028992L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223G0001X Dentist, General Practice (Licence: PA DS028992L) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2014-06-09 |