| NPI | 1245387521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD A BRUNGO Dentist 814-237-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA Ds028734L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA Ds028551L) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |