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Individual

MICHELLE PAULA SKETTINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5000
Mailing address
2236 CROSS ST, PHILADELPHIA, PA 19146-4203
(717) 926-0099

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
39223
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS044817
PA

Other

Enumeration date
04/29/2020
Last updated
08/07/2024
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