Organization
G.A. & J.A. BRUNGO & ASSOC. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA MARIE BRUNGO D.M.D. (PRESIDENT)
(412) 931-4243
Entity
Organization
Contact information
Practice address
440 PERRY HWY, PITTSBURGH, PA 15229-1843
(412) 931-4243
Mailing address
440 PERRY HWY, PITTSBURGH, PA 15229-1843
(412) 931-4243
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036974
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013392430
DENTIST
PA
01
—
1942398474
DENTIST
PA
Enumeration date
07/28/2015
Last updated
07/28/2015
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