NPI | 1710255054 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD LOUIS REICHEL Owner/President 814-459-8219 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS024931L) |
Enumeration Date | 2011-12-01 |
Last Update Date | 2011-12-01 |