Organization
DAVID S PETRIK DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S PETRIK DDS (PRESIDENT OF CORPORATION)
(727) 442-4646
Entity
Organization
Contact information
Practice address
1760 N FORT HARRISON AVE, CLEARWATER, FL 33755-1706
(727) 442-4646
(727) 442-3542
Mailing address
1760 N FORT HARRISON AVE, CLEARWATER, FL 33755-1706
(727) 442-4646
(727) 442-3542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 13150
FL
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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