# YOUTH SMILES MOBILE DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912558578
- **Authorized official:** WENDI CAGNI (MANAGER)
- **Authorized official phone:** (412) 613-5604

## Contact information

- **Practice address:** 5918 PENN AVE, PITTSBURGH, PA 15206-3846
- **Practice address phone:** (412) 361-5437
- **Mailing address:** 5918 PENN AVE, PITTSBURGH, PA 15206-3846
- **Mailing address phone:** (412) 361-5437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2019
- **Last updated:** 09/25/2019