Dmg-East Market, Lllc

NPI #1316169659 in Blairsville, Pennsylvania

Provider Information

NPI Number: 1316169659
Entity Type: Organization
Organization Name: Dmg-East Market, Lllc
Primary Specialty: Dentist - General Practice
Enumeration Date: May 3, 2007
Last Updated: Feb 3, 2012

Practice Location

Address: 135 EAST MARKET STREET
Address 2: SUITE 116
City: Blairsville
State: Pennsylvania
ZIP Code: 15717-1356
Phone: (724) 459-5310

Authorized Official

Name: DR. RUSSELL JAMES CAPUTO, DMD
Title: OWNER
Phone: (412) 999-8533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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