| NPI | 1962673632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES LUCCY President 724-837-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS 018180 L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS 015320 L) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2015-01-29 |