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Organization

MICHAEL A PETRILLO DMD PC

Active
Other names
Lehigh Valley Smile Designs
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LINDA SUSAN PETRILLO (ADMINISTRATOR)
(610) 868-7601
Entity
Organization

Contact information

Practice address
2019 INDUSTRIAL DR UNIT 1, BETHLEHEM, PA 18017-2160
(610) 868-7601
(610) 867-8128
Mailing address
2019 INDUSTRIAL DR UNIT 1, BETHLEHEM, PA 18017-2160
(610) 868-7601
(610) 867-8128

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS018728
PA

Other

Enumeration date
05/24/2018
Last updated
05/24/2018
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