Provider First Line Business Practice Location Address:
3901 PENN AVE
Provider Second Line Business Practice Location Address:
ALLEGHENY COUNTY HEALTH DEPT DENTAL PROGRAM
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-578-8378
Provider Business Practice Location Address Fax Number:
412-578-7905
Provider Enumeration Date:
01/24/2006