Organization
J. JEROME PETRO DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. JEROME PETRO DMD (PRESIDENT)
(814) 536-8793
Entity
Organization
Contact information
Practice address
909 MENOHER BLVD, JOHNSTOWN, PA 15905-2834
(814) 536-8793
Mailing address
909 MENOHER BLVD, JOHNSTOWN, PA 15905-2834
(814) 536-8793
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-019044L
PA
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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