NPI 1003026808

Esthetic Dentistry Pittsburgh

Organisation General Practice Dentistry Pittsburgh, PA

Practice location

Address: 180 Fort Couch Rd Suite 200, Pittsburgh, PA 15241-1041
Phone: (412) 854-2310
Fax: (412) 854-1101

Authorised official

Name: Susan M Petruska
Title: Owner
Phone: (412) 854-2310

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DS026926L (PA)

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Registry record

NPI: 1003026808
Entity type: Organization
NPI issued: 23 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.