| Brungo Family Dentistry | |
|
234 E College Ave State College PA 16801-4757 | |
| (814) 237-4300 | |
| (814) 237-4303 |
| Full Name | Brungo Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 234 E College Ave, State College, Pennsylvania |
| Authorized Official Name and Position | Ronald A Brungo (DENTIST) |
| Authorized Official Contact | 8142374300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brungo Family Dentistry 234 E College Ave State College PA 16801-4757 Ph: (814) 237-4300 | Brungo Family Dentistry 234 E College Ave State College PA 16801-4757 Ph: (814) 237-4300 |
| NPI Number | 1245387521 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245387521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS028734L (Pennsylvania) | Primary |
| 1223G0001X | Dentist - General Practice | DS028551L (Pennsylvania) | Secondary |
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