| The Dentists At Shadyside Place, Llc | |
|
580 S Aiken Ave Suite 620 Pittsburgh PA 15232-1531 | |
| (412) 622-0221 | |
| (412) 622-0224 |
| Full Name | The Dentists At Shadyside Place, Llc |
|---|---|
| Speciality | Dentist |
| Location | 580 S Aiken Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Bobbie Lee Hawranko (PRESIDENT) |
| Authorized Official Contact | 4126220221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dentists At Shadyside Place, Llc 580 S Aiken Ave Suite 620 Pittsburgh PA 15232-1531 Ph: (412) 622-0221 | The Dentists At Shadyside Place, Llc 580 S Aiken Ave Suite 620 Pittsburgh PA 15232-1531 Ph: (412) 622-0221 |
| NPI Number | 1417336819 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 05/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417336819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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