# ANTHONY M BRUSCA JR DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083073191
- **Authorized official:** ANTHONY M BRUSCA (OWNER)
- **Authorized official phone:** (724) 325-2232

## Contact information

- **Practice address:** 4407 OLD WILLIAM PENN HWY, SUITE 100, MURRYSVILLE, PA 15668-1940
- **Practice address phone:** (724) 325-2232
- **Practice address fax:** (724) 325-2259
- **Mailing address:** 4407 OLD WILLIAM PENN HWY, SUITE 100, MURRYSVILLE, PA 15668-1940
- **Mailing address phone:** (724) 325-2232
- **Mailing address fax:** (724) 325-2259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS020720L | PA | Yes |

## Other

- **Enumeration date:** 02/17/2016
- **Last updated:** 02/17/2016
