| NPI | 1720172711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY JOY LINK Director Of Professional Relations 814-946-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |