Individual
PAUL PETER PETRUNAK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1161 FRANKLIN ST, JOHNSTOWN, PA 15905
(814) 539-2182
Mailing address
1161 FRANKLIN ST, JOHNSTOWN, PA 15905
(814) 539-2182
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS019080L
PA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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