Provider First Line Business Practice Location Address:
3501 TERRACE ST
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PEDIATRIC DENTISTRY UNIV OF PITTSBURGH
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15261
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-648-8862
Provider Business Practice Location Address Fax Number:
412-648-8435
Provider Enumeration Date:
04/08/2006