Esthetic Dentistry Pittsburgh

NPI 1003026808 - Dentist - 1223G0001X

NPI Details
NPI 1003026808
Enumeration Date 05/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUSAN M SUSAN
Position OWNER
Phone (412) 854-2310
Fax (412) 854-1101
Practice Location
180 FORT COUCH RD
SUITE 200
PITTSBURGH PA, 15241-1041, US
Phone (412) 854-2310
Fax (412) 854-1101
Business Location
180 FORT COUCH RD
SUITE 200
PITTSBURGH PA, 15241-1041, US
Phone (412) 854-2310
Fax (412) 854-1101
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number DS026926L
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According to our database, Esthetic Dentistry Pittsburgh NPI is 1003026808, taxonomy code is 1223G0001X and license number is DS026926L, license state is located at Pennsylvania. Esthetic Dentistry Pittsburgh physically located at 180 Fort Couch Rd, Pittsburgh PA, 15241-1041. NPI Number 1033115704 has the healthcare provider type.

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1003026808 NPI number is provided on an as is basis without warranty of any kind. 1003026808 is maintained by the National Plan & Provider Enumeration System. The contents of Esthetic Dentistry Pittsburgh are for informational purposes only.