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Organization
THOMAS PETNUCH DMD PC
Active
Organization
THOMAS PETNUCH DMD PC
Active
Other names
Willowbrook Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS PETNUCH DMD (OWNER PRESIDENT)
(724) 836-6884
Entity
Organization
Contact information
Practice address
259 OLD ROUTE 30, SUITE D, GREENSBURG, PA 15601
(724) 836-6884
(724) 836-4616
Mailing address
259 OLD ROUTE 30, SUITE D, GREENBURG, PA 15601
(724) 836-6884
(724) 836-4616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS021701L
PA
1223G0001X
General Practice Dentistry
Primary
DS035001
PA
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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