Individual
MARY A PETRELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
112 MAIN ST, STONEHAM, MA 02180-1605
(781) 438-1995
(781) 438-6378
Mailing address
112 MAIN ST, STONEHAM, MA 02180-1605
(781) 438-1995
(781) 438-6378
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016175
MA
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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