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Organization
NORTHSIDE DENTAL
Active
Organization
NORTHSIDE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM MYCHAK DMD (OWNER)
(412) 366-7788
Entity
Organization
Contact information
Practice address
814 CEDAR AVENUE, PITTSBURGH, PA 15212
(412) 366-7788
Mailing address
814 CEDAR AVE, PITTSBURGH, PA 15212-4812
(412) 366-7788
(412) 322-1087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037298
NULL
1223G0001X
General Practice Dentistry
Primary
DS037298
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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