| NPI | 1811268782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA GRENADIER Office Manager 412-788-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: PA DS025828-L) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-10-26 |