South Side Dental Pavilion
NPI #1619128857 in Pittsburgh, Pennsylvania
Provider Information
- NPI Number
- 1619128857
- Entity Type
- Organization
- Organization Name
- South Side Dental Pavilion
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 7, 2008
- Last Updated
- Oct 7, 2008
Practice Location
- Address
- 1408 EAST CARSON STREET
- City
- Pittsburgh
- State
- Pennsylvania
- ZIP Code
- 15203
- Phone
- (412) 431-6631
Authorized Official
- Name
- DR. RONALD A DICARLO
- Title
- DOCTOR
- Phone
- (412) 431-6631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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