Organization
DMG - CHARTIERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL J CAPUTO DMD (OWNER)
(330) 562-3400
Entity
Organization
Contact information
Practice address
757 CHARTIERS AVE, MC KEES ROCKS, PA 15136-3622
(412) 331-4629
(412) 331-1606
Mailing address
PO BOX 827, AURORA, OH 44202-0827
(412) 999-8533
(330) 562-2011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037122
PA
Other
Enumeration date
11/07/2007
Last updated
12/27/2011
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