# PENN DENTAL SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Progressive Dental Solutions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316403454
- **Authorized official:** MR. EDWARD BIENVENIDO MINAYA (OWNER)
- **Authorized official phone:** (814) 232-7985

## Contact information

- **Practice address:** 3055 WASHINGTON RD STE 303, MC MURRAY, PA 15317-3279
- **Practice address phone:** (724) 942-5630
- **Practice address fax:** (724) 942-5632
- **Mailing address:** 3055 WASHINGTON RD STE 303, MC MURRAY, PA 15317-3279
- **Mailing address phone:** (724) 942-5630
- **Mailing address fax:** (724) 942-5632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2019
- **Last updated:** 02/13/2019