| NPI | 1801009386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A HAYS Sec Treasurer 412-391-8657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS028282L) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS021431L) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |