Broad Mountain Family Dentistry, P.c.
NPI #1366416828 in Frackville, Pennsylvania
Provider Information
- NPI Number
- 1366416828
- Entity Type
- Organization
- Organization Name
- Broad Mountain Family Dentistry, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 309 W PINE ST
- City
- Frackville
- State
- Pennsylvania
- ZIP Code
- 17931-1211
- Phone
- (570) 874-3981
Authorized Official
- Name
- DR. FRANK JOSEPH BLOZUSKY SR., D.M.D.
- Title
- CORPORATE PRESIDENT/DENTIST
- Phone
- (570) 874-3981
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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