Organization
DENTISTRY FOR KIDS
Active
Parent organization
THOMAS W. JACKSON INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THOMAS W. JACKSON INC.
Authorized official
DR. PAUL J. BRORING D.D.S, (PEDISTRIC DENTIST)
(412) 682-7900
Entity
Organization
Contact information
Practice address
4815 LIBERTY AVE, SUITE 106, PITTSBURGH, PA 15224
(412) 682-7900
(412) 682-7954
Mailing address
4815 LIBERTY AVE, SUITE 106, PITTSBURGH, PA 15224
(412) 682-7900
(412) 682-7954
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS038177
MD
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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