Tera L Depaoli, Dmd, LLC
Dentist, General Practice in Gibsonia, PA. Organization (NPI-2).
NPI number1639747686
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1639747686
- Entity type
- Organization (NPI-2)
- Legal business name
- Tera L Depaoli, Dmd, LLC
- Organization subpart
- No
- Enumeration date
- Jun 16, 2021
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Depaoli Dentistry (Doing Business As)
Practice location
4984 Middle RdGibsonia, PA 15044-8276
Phone 724-443-4444
Mailing address
4984 Middle RdGibsonia, PA 15044-8276
Phone 724-443-4444
Other practice locations
21 Brilliant Ave
Aspinwall, PA 15215-3118
Aspinwall, PA 15215-3118
Phone 412-781-2100
Authorized official
Tera L Depaoli
Owner
7244434444
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