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Organization

ALBERT B PRUCHNIC DENTAL PRACTICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALBERT BRUCE PRUCHNIC DMD (PRESIDENT OF CORPORATION)
(814) 467-4474
Entity
Organization

Contact information

Practice address
1311 SOMERSET AVENUE, WINDBER, PA 15963-1636
(814) 467-4474
(814) 467-4474
Mailing address
1311 SOMERSET AVENUE, WINDBER, PA 15963-1636
(814) 467-4474
(814) 467-4474

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS019291L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141305
UNITED CONCORDIA
Enumeration date
05/11/2006
Last updated
08/22/2020
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