| NPI | 1790083160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY E. DEGREGORIO Owner 412-621-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DSO27253L) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: PA DSO35013) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |