| NPI | 1598986416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JAMES MICUCCI President 412-761-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS028123) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS026302L) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |