| Mnm Dental Shadyside Llc | |
|
5830 Ellsworth Ave Ste 304 Pittsburgh PA 15232-1778 | |
| (412) 730-2560 | |
| (412) 730-2562 |
| Full Name | Mnm Dental Shadyside Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 5830 Ellsworth Ave Ste 304, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Natalie Bullock (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4122819411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mnm Dental Shadyside Llc 5830 Ellsworth Ave Ste 304 Pittsburgh PA 15232-1778 Ph: (412) 730-2560 | Mnm Dental Shadyside Llc 5830 Ellsworth Ave Ste 304 Pittsburgh PA 15232-1778 Ph: (412) 730-2560 |
| NPI Number | 1952185811 |
|---|---|
| Provider Enumeration Date | 08/22/2023 |
| Last Update Date | 08/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952185811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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