| NPI | 1699966457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK LEE MALVIN President 412-661-7316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA 020641) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |