Individual
DR. CHRISTOPHER M PETRUNIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD., MS
Contact information
Practice address
4164 CARMICHAEL RD, MONTGOMERY, AL 36106-3600
(334) 277-2980
(334) 277-2987
Mailing address
4164 CARMICHAEL RD, MONTGOMERY, AL 36106-3600
(334) 277-2980
(334) 277-2987
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5152
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5152
BOARD OF DENTAL EXAMINERS
AL
Enumeration date
12/06/2006
Last updated
07/08/2007
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