| NPI | 1629615455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LUELLA PINKERTON Administrator/Owner 724-664-8402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |