Individual
LUIZA ARIETA FROTA DE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
108 VIP DR STE 105, WEXFORD, PA 15090-7975
(724) 935-0700
(724) 935-2834
Mailing address
108 VIP DR STE 105, WEXFORD, PA 15090-7975
(724) 935-0700
(724) 935-2834
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043184
PA
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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