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Organization
UPMC PRESBYTERIAN SHADYSIDE
Active
Organization
UPMC PRESBYTERIAN SHADYSIDE
Active
Other names
Braddock Dental Center of UPMC Presbyterian Shadyside
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL CASTILLO (CFO)
(412) 647-7713
Entity
Organization
Contact information
Practice address
818 BRADDOCK AVE, BRADDOCK, PA 15104-1715
(412) 636-5187
(412) 636-5248
Mailing address
818 BRADDOCK AVE, BRADDOCK, PA 15104-1715
(412) 636-5187
(412) 636-5248
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
DS027386L
PA
261QD0000X
Dental Clinic/Center
DS030969L
PA
261QD0000X
Dental Clinic/Center
Primary
DS037519
PA
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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