| NPI | 1912918145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M MCCLOY Dentist 724-547-9105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS016970) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS030034) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2014-09-16 |