Organization
PENN FAMILY DENTAL INC
Active
Other names
Penn Family Dental Inc
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD BIENVENIDO MINAYA (PRESIDENT)
(814) 232-7985
Entity
Organization
Contact information
Practice address
190 W PARK AVE STE 11, DU BOIS, PA 15801-2277
(814) 913-8136
(814) 509-4312
Mailing address
190 W PARK AVE STE 11, DU BOIS, PA 15801-2277
(814) 913-8136
(814) 509-4312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
05/06/2026
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