| 88 Dental | |
|
4100 Library Road Pittsburgh PA 15234-1351 | |
| (412) 343-4100 | |
| Not Available |
| Full Name | 88 Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4100 Library Road, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Larry E. Manalo (OWNER) |
| Authorized Official Contact | 4122218281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 88 Dental 4100 Library Rd Pittsburgh PA 15234-1351 Ph: (412) 343-4100 | 88 Dental 4100 Library Road Pittsburgh PA 15234-1351 Ph: (412) 343-4100 |
| NPI Number | 1922339670 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 01/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922339670 | NPI | - | NPPES |
| 0012991250008 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS027433L (Pennsylvania) | Primary |
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