| NPI | 1639735863 |
|---|---|
| Doing Business As | QUEEN ANNE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | GRANT POTTER RESCHENTHALER Owner Dentist 412-719-0174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |