| NPI | 1760815047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE RHOADS Orthodontist 724-742-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS038322) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |