Individual
JOAN PETRACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
60 LEXINGTON ST, FRAMINGHAM, MA 01702-8219
(508) 872-1627
Mailing address
60 LEXINGTON ST, FRAMINGHAM, MA 01702-8219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17141
MA
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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