Organization
DENTISTRY FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J PRICE DDS (VICE PRESIDENT)
(412) 856-6660
Entity
Organization
Contact information
Practice address
2790 MOSSIDE BLVD, SUITE 140, MONROEVILLE, PA 15146-2743
(412) 856-6660
(412) 856-1463
Mailing address
2790 MOSSIDE BLVD, SUITE 140, MONROEVILLE, PA 15146-2743
(412) 856-6660
(412) 856-1463
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168120
UNITED CONCORDIA NUMBER
PA
Enumeration date
01/24/2007
Last updated
10/29/2009
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