| NPI | 1619172087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN A KLAICH Dentist 724-776-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS035565) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2023-04-10 |