Individual
DR. ALLEN WAYNE PETROS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5004 COLUMBIA AVE STE 101, DALLAS, TX 75214-5542
(214) 821-1800
(214) 821-1801
Mailing address
5004 COLUMBIA AVE STE 101, DALLAS, TX 75214-5542
(214) 821-1800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32950
TX
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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