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Individual

DR. DENNIS RICHARD BRUMBAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1177 SOUTH 6TH ST, SUITE G, INDIANA, PA 15701
(724) 465-2036
(724) 465-2037
Mailing address
1177 SOUTH 6TH ST, SUITE G, INDIANA, PA 15701
(724) 465-2036
(724) 465-2037

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DP000596
PA
122300000X
Dentist
DS 021711L
PA
122300000X
Dentist
Primary
PA-DS021711L
PA

Other

Enumeration date
05/16/2007
Last updated
07/01/2009
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