Organization
TERRIFIC TEETH PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY P LEWIS DDS (PEDIATRIC DENTIST)
(703) 819-5276
Entity
Organization
Contact information
Practice address
1229 SILVER LN, MC KEES ROCKS, PA 15136-1063
(412) 859-3199
Mailing address
1325 MILTON ST, PITTSBURGH, PA 15218-1234
(703) 819-5276
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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