Albert B Pruchnic Dental Practice Inc | |
1311 Somerset Avenue Windber PA 15963-1636 | |
(814) 467-4474 | |
(814) 467-4474 |
Full Name | Albert B Pruchnic Dental Practice Inc |
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Speciality | Dentist - General Practice |
Location | 1311 Somerset Avenue, Windber, Pennsylvania |
Authorized Official Name and Position | Albert Bruce Pruchnic (PRESIDENT OF CORPORATION) |
Authorized Official Contact | 8144674474 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Albert B Pruchnic Dental Practice Inc 1311 Somerset Avenue Windber PA 15963-1636 Ph: (814) 467-4474 | Albert B Pruchnic Dental Practice Inc 1311 Somerset Avenue Windber PA 15963-1636 Ph: (814) 467-4474 |
NPI Number | 1215987078 |
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Provider Enumeration Date | 05/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1215987078 | NPI | - | NPPES |
141305 | Other | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS019291L (Pennsylvania) | Primary |