| NPI | 1649638214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P KEELAN Chief Financial Officer 724-285-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS026867L) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |