| NPI | 1891204749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACH CHURCHFIELD Admin 412-371-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2022-07-21 |