| NPI | 1871764860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JOHN HALUSIC Owner/Oral, Maxillofacial Surgeon 724-547-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS021856) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2009-07-06 |