| South Side Dental Pavilion | |
|
1408 East Carson Street Pittsburgh PA 15203 | |
| (412) 431-6631 | |
| (412) 431-6297 |
| Full Name | South Side Dental Pavilion |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1408 East Carson Street, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Ronald A Dicarlo (DOCTOR) |
| Authorized Official Contact | 4124316631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Side Dental Pavilion 1408 East Carson Street Pittsburgh PA 15203 Ph: (412) 431-6631 | South Side Dental Pavilion 1408 East Carson Street Pittsburgh PA 15203 Ph: (412) 431-6631 |
| NPI Number | 1619128857 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619128857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DSO18546L (Pennsylvania) | Primary |
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