| NPI | 1700965084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN D YOUNKINS President 814-238-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS030985L) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |