Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | DS041574 | PA |
NPI | 1043771447 |
---|---|
Provider Name | Dr. Kara Deanne Dragone |
First Address | Pittsburgh, PA 15261-0001 |
Second Address | Allison Park, PA 15101-2783 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2019 |
Last Update Date | 25/06/2020 |