| NPI Details | |
|---|---|
| NPI | 1154667715 |
| Enumeration Date | 12/28/2012 |
| Last Updated | 12/28/2012 |
| Entity Type | Healthcare Provider |
| Active | Over 4 years ago |
| Authorized Information | |
|---|---|
| Name | CLINTON L CLINTON |
| Position | OWNER/PRESIDENT |
| Phone | (412) 992-1001 |
| Fax | |
| Practice Location | |
|---|---|
| 2903 MOUNT ROYAL BLVD GLENSHAW PA, 15116-1633, US |
|
| Phone | (412) 992-1001 |
| Fax | |
| Business Location | |
|---|---|
| 2903 MOUNT ROYAL BLVD GLENSHAW PA, 15116-1633, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1223X0400X |
| License State | Pennsylvania |
| License Number | DS035864 |
| Remove 1154667715 NPI Number | |
According to our database, Cable Orthodontics, Pc NPI is 1154667715, taxonomy code is 1223X0400X and license number is DS035864, license state is located at Pennsylvania. Cable Orthodontics, Pc physically located at 2903 Mount Royal Blvd, Glenshaw PA, 15116-1633. NPI Number 1033115704 has the healthcare provider type.
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1154667715 NPI number is provided on an as is basis without warranty of any kind. 1154667715 is maintained by the National Plan & Provider Enumeration System. The contents of Cable Orthodontics, Pc are for informational purposes only.
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