Organization
YOUTH SMILES MOBILE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDI CAGNI (MANAGER)
(412) 613-5604
Entity
Organization
Contact information
Practice address
5918 PENN AVE, PITTSBURGH, PA 15206-3846
(412) 361-5437
Mailing address
5918 PENN AVE, PITTSBURGH, PA 15206-3846
(412) 361-5437
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
09/25/2019
Last updated
09/25/2019
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