Organization
MICHAEL M BRESKIEWICZ, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MARTIN BRESKIEWICZ (DMD)
(570) 373-3523
Entity
Organization
Contact information
Practice address
921 CHESTNUT ST, KULPMONT, PA 17834-1207
(570) 373-3523
Mailing address
921 CHESTNUT ST, KULPMONT, PA 17834-1207
(570) 373-3523
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS022764L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001
NONE
—
Enumeration date
02/11/2011
Last updated
02/11/2011
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