| NPI | 1659403186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH BAKER President 724-847-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS-030369-L) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2013-04-15 |