| NPI | 1982803011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENG CHENG Owner/Dentist 814-942-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS036341) |
| 1223G0001X Dentist, General Practice (Licence: PA DS021038) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2015-11-12 |