Individual
DR. CHRISTINE ELYSE PETRILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
72333 HIGHWAY 111, SUITE B, PALM DESERT, CA 92260-2790
(760) 674-9666
Mailing address
72333 HIGHWAY 111, SUITE B, PALM DESERT, CA 92260-2790
(760) 674-9666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
63811
CA
Other
Enumeration date
08/04/2014
Last updated
05/01/2015
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