# PENN FAMILY DENTAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Penn Family Dental Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841055274
- **Authorized official:** EDWARD BIENVENIDO MINAYA (PRESIDENT)
- **Authorized official phone:** (814) 232-7985

## Contact information

- **Practice address:** 190 W PARK AVE STE 11, DU BOIS, PA 15801-2277
- **Practice address phone:** (814) 913-8136
- **Practice address fax:** (814) 509-4312
- **Mailing address:** 190 W PARK AVE STE 11, DU BOIS, PA 15801-2277
- **Mailing address phone:** (814) 913-8136
- **Mailing address fax:** (814) 509-4312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2024
- **Last updated:** 05/06/2026