Individual
STEVEN J PETRUZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4025 W BELL RD STE 18, PHOENIX, AZ 85053-2749
(602) 843-1275
Mailing address
4804 NE 65TH TER, KANSAS CITY, MO 64119-1032
(760) 218-1638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2009012760
MO
1223P0221X
Pediatric Dentistry
D008162
AZ
Other
Enumeration date
06/25/2008
Last updated
03/22/2011
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