John J Brungo, DMD Valid NPI

Individual provider · General Practice Dentistry · New Kensington, PA

NPI

1083713481

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DS 025239L (PA)

Sex

Male

Sole proprietor

No

Enumerated

2006-09-22

Last updated

2007-07-08