| NPI | 1710131594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA BIANCA RUDOLPH Managing Member 724-961-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA PA21586-L) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2023-03-08 |