| NPI | 1922010503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIF FAYEZ FAHMY KERIAKES Denitist/Managing Dentist 814-833-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS030754L PA) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CA 51851) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |