| NPI | 1912032806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LITTLE President 814-262-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-06-17 |