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Organization
J. JEROME PETRO DMD INC
Active
Organization
J. JEROME PETRO DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. JEROME PETRO DMD (PRESIDENT)
(814) 536-8793
Entity
Organization
Contact information
Practice address
909 MENOHER BLVD, JOHNSTOWN, PA 15905-2834
(814) 536-8793
Mailing address
909 MENOHER BLVD, JOHNSTOWN, PA 15905-2834
(814) 536-8793
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-019044L
PA
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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