| NPI | 1902025273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SHOUKRY MATTA Owner.General Dentist 724-658-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS036253) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |