Organization
ESTHETIC DENTISTRY PITTSBURGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN M PETRUSKA D.M.D. (OWNER)
(412) 854-2310
Entity
Organization
Contact information
Practice address
180 FORT COUCH RD, SUITE 200, PITTSBURGH, PA 15241-1041
(412) 854-2310
(412) 854-1101
Mailing address
180 FORT COUCH RD, SUITE 200, PITTSBURGH, PA 15241-1041
(412) 854-2310
(412) 854-1101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026926L
PA
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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