Organization
BRUNGO FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD A BRUNGO D.M.D. (DENTIST)
(814) 237-4300
Entity
Organization
Contact information
Practice address
234 E COLLEGE AVE, STATE COLLEGE, PA 16801-4757
(814) 237-4300
(814) 237-4303
Mailing address
234 E COLLEGE AVE, STATE COLLEGE, PA 16801-4757
(814) 237-4300
(814) 237-4303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS028551L
PA
1223G0001X
General Practice Dentistry
Primary
DS028734L
PA
Other
Enumeration date
01/05/2007
Last updated
08/22/2020
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