| NPI | 1649791666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL RAE ALEXAS Dentist/Owner 724-470-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS040317) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |