| Willowbrook Dental Associates | |
|
259 Old Route 30 Suite D Greensburg PA 15601 | |
| (724) 836-6884 | |
| (724) 836-4616 |
| Full Name | Willowbrook Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 259 Old Route 30, Greensburg, Pennsylvania |
| Authorized Official Name and Position | Thomas Petnuch (OWNER PRESIDENT) |
| Authorized Official Contact | 7248366884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willowbrook Dental Associates 259 Old Route 30 Suite D Greenburg PA 15601 Ph: (724) 836-6884 | Willowbrook Dental Associates 259 Old Route 30 Suite D Greensburg PA 15601 Ph: (724) 836-6884 |
| NPI Number | 1588672588 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588672588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS035001 (Pennsylvania) | Primary |
| 1223G0001X | Dentist - General Practice | DS021701L (Pennsylvania) | Secondary |
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