| NPI | 1669682597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTAL A. IZYDORZYK Dentist 412-531-2329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS036551) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |