| NPI | 1871186361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY PFEIFER Director Of Operations 724-836-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2023-01-12 |