| Esthetic Dentistry Pittsburgh | |
|
180 Fort Couch Rd Suite 200 Pittsburgh PA 15241-1041 | |
| (412) 854-2310 | |
| (412) 854-1101 |
| Full Name | Esthetic Dentistry Pittsburgh |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 180 Fort Couch Rd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Susan M Petruska (OWNER) |
| Authorized Official Contact | 4128542310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esthetic Dentistry Pittsburgh 180 Fort Couch Rd Suite 200 Pittsburgh PA 15241-1041 Ph: (412) 854-2310 | Esthetic Dentistry Pittsburgh 180 Fort Couch Rd Suite 200 Pittsburgh PA 15241-1041 Ph: (412) 854-2310 |
| NPI Number | 1003026808 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003026808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS026926L (Pennsylvania) | Primary |
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