Individual
DR. ANTHONY G. PETRILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
348 ABBOTT RD, BUFFALO, NY 14220-1602
(716) 823-3030
Mailing address
348 ABBOTT RD, BUFFALO, NY 14220-1602
(716) 823-3030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02658304
—
NY
Enumeration date
11/30/2006
Last updated
04/01/2014
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