NPI | 1871774646 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSSELL J CAPUTO Owner 412-999-8533 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-022642) |
Enumeration Date | 2007-11-20 |
Last Update Date | 2011-12-27 |