NPI | 1700869682 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRETT M BENDER Dentist Owner 412-824-8830 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS019606L) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS026612L) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS025542L) | |
Enumeration Date | 2005-11-23 |
Last Update Date | 2020-08-22 |