| NPI | 1699482976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PATRICK NEBEL Owner 724-654-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-14 |