| NPI | 1922043322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L.. DELROSARIO Owner 814-536-4675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS028079L) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |