| NPI | 1639210198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A BAMONTE Owner 724-934-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS024033L) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |