| NPI | 1588474001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA K CENKNER Managing Member 724-454-2714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |