| NPI | 1972716389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | P. ALVIN ZAMBA Dentist 724-266-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PA DS016884) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |