Individual
ANTONIA PETROSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
818 N 19TH AVE, MELROSE PARK, IL 60160-3726
(708) 450-1170
(708) 450-0008
Mailing address
818 N 19TH AVE, MELROSE PARK, IL 60160-3726
(708) 450-1170
(708) 450-0008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-026036
IL
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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