Individual
DR. ANGELA DANIELLE PETROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
902 1ST ST, MOUNDSVILLE, WV 26041-1406
(304) 845-9665
Mailing address
902 1ST ST, MOUNDSVILLE, WV 26041-1406
(304) 845-9665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4116
WV
122300000X
Dentist
DS040158
PA
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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