Individual
MAURA BEIRNE BRUNGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
100 OAKWOOD AVE, SUITE 200, STATE COLLEGE, PA 16803-2636
(814) 237-4000
(814) 272-0256
Mailing address
100 OAKWOOD AVE, SUITE 200, STATE COLLEGE, PA 16803-2636
(814) 237-4300
(814) 272-0256
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS028551L
PA
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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