| NPI | 1649397571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN DONOFRIO Ofice Manager 814-833-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS026905L) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2020-08-22 |