Individual
MR. CHARLES J PETRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
218 WILLOW DRIVE, LEVITTOWN, PA 19054
(215) 946-7717
(215) 946-8727
Mailing address
218 WILLOW DRIVE, LEVITTOWN, PA 19054
(215) 946-7717
(215) 946-8727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021174L
PA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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