Individual
DR. PETER PAUL PATELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M. D.
Contact information
Practice address
208 N UNION ST, KENNETT SQUARE, PA 19348-2925
(610) 444-6311
(610) 444-6153
Mailing address
208 N UNION ST, KENNETT SQUARE, PA 19348-2925
(610) 444-6311
(610) 444-6153
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS0296924L
PA
122300000X
Dentist
G1-0001195
DE
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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