Organization
THE DENTISTS AT SHADYSIDE PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBIE LEE HAWRANKO D.M.D. (PRESIDENT)
(412) 622-0221
Entity
Organization
Contact information
Practice address
580 S AIKEN AVE, SUITE 620, PITTSBURGH, PA 15232-1531
(412) 622-0221
(412) 622-0224
Mailing address
580 S AIKEN AVE, SUITE 620, PITTSBURGH, PA 15232-1531
(412) 622-0221
(412) 622-0224
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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