| NPI | 1942474879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL FOSTER Office Manager 724-628-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS027029L) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS015819L) |
| 122300000X Dentist (Licence: PA DS037382) | |
| 122300000X Dentist (Licence: PA DS031148L) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-06-27 |