Organization
MARTIN L. SUPOWITZ, DMD, MSD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN L. SUPOWITZ DMD, MSD (PRESIDENT)
(412) 687-3232
Entity
Organization
Contact information
Practice address
5433 WALNUT ST STE 200, PITTSBURGH, PA 15232-3215
(412) 687-3232
Mailing address
5433 WALNUT ST STE 200, PITTSBURGH, PA 15232-3215
(412) 687-3232
(412) 535-0303
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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