NPI | 1841308251 |
---|---|
Entity Type | Organization |
Authorized Contact | BLAINE MAURICE BELL President 814-899-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS021737L) |
Enumeration Date | 2006-08-26 |
Last Update Date | 2020-08-22 |