| NPI | 1588672588 |
|---|---|
| Doing Business As | WILLOWBROOK DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | THOMAS PETNUCH Owner President 724-836-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS035001) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: PA DS021701L) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |