Organization
PUNXSUTAWNEY DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHEL PAULINE LORENZO (CEO)
(814) 938-8000
Entity
Organization
Contact information
Practice address
232 N MAIN ST, PUNXSUTAWNEY, PA 15767-1218
(814) 938-8000
(814) 938-8696
Mailing address
232 N MAIN ST, PUNXSUTAWNEY, PA 15767-1218
(814) 938-8000
(814) 938-8696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016832800002
COMMONWEALTH OF PA ID#
PA
Enumeration date
09/27/2006
Last updated
08/22/2020
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