| NPI | 1699840777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A BAKER President Owner 814-944-5937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS018406L) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |