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Organization
SELECT DENTAL
Active
Organization
SELECT DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA WISE (OWNER)
(724) 787-2064
Entity
Organization
Contact information
Practice address
547 NORTH AVE, PITTSBURGH, PA 15209-2305
(724) 821-1200
Mailing address
547 NORTH AVE, PITTSBURGH, PA 15209-2305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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