Organization
FAMILY DENTISTRY OF EVANS CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY A GLASSBRENNER II (OWNER)
(724) 538-8180
Entity
Organization
Contact information
Practice address
133 ELIZABETH AVE, EVANS CITY, PA 16033-1016
(724) 538-8180
Mailing address
133 ELIZABETH AVE, EVANS CITY, PA 16033-1016
(724) 538-8180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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