| NPI | 1588861678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL J CAPUTO Owner 412-761-4533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS26835L) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |