Individual
DR. JOSEPH ANTHONY PETRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
705 S RESERVE ST, MISSOULA, MT 59801-2117
(406) 542-1600
(406) 542-8945
Mailing address
707 DICKINSON ST, MISSOULA, MT 59802-3113
(406) 203-2400
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2441
MT
1223E0200X
Endodontics
D12284
MN
Other
Enumeration date
08/21/2008
Last updated
09/06/2011
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