Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DS035719 | PA |
NPI | 1003878315 |
---|---|
Provider Name | Scott Lawrence Cignetti |
First Address | Apollo, PA 15613-1747 |
Second Address | Greensburg, PA 15601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 08/07/2007 |