| NPI | 1871747642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANABIANCA RUDOLPH Owner 724-836-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA PA 21586-L) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2023-04-28 |