Dmg - South Main, LLC
NPI #1164575957 in Zelienople, Pennsylvania
Provider Information
- NPI Number
- 1164575957
- Entity Type
- Organization
- Organization Name
- Dmg - South Main, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Apr 28, 2009
Practice Location
- Address
- 506 S MAIN ST
- Address 2
- SUITE 2103
- City
- Zelienople
- State
- Pennsylvania
- ZIP Code
- 16063-1603
- Phone
- (724) 453-1200
Authorized Official
- Name
- DR. RUSSELL J CAPUTO, DMD
- Title
- OWNER
- Phone
- (412) 635-0710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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