Individual
DAVID PETRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4843 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-4252
(727) 847-6453
(727) 847-6447
Mailing address
5341 GRAND BLVD, STE 108, NEW PORT RICHEY, FL 34652-4004
(727) 847-6453
(727) 847-6447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN13150
FL
Other
Enumeration date
07/24/2014
Last updated
05/09/2016
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