Individual
CHANTOL PETERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1395 CENTER DR # D1-30, GAINESVILLE, FL 32610-3006
(352) 273-5651
Mailing address
1395 CENTER DR # D1-13C, GAINESVILLE, FL 32610-3006
(352) 273-5651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DRPM2211
FL
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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