Individual
DR. GARY JOHN PETENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3 PALOMINO WAY, MARLBORO, NJ 07746-1948
(732) 462-7072
(732) 294-7714
Mailing address
3 PALOMINO WAY, MARLBORO, NJ 07746-1948
(732) 462-1063
(732) 294-7714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DIO1093200
NJ
Other
Enumeration date
10/10/2006
Last updated
03/31/2010
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