Individual
DR. ERIC R. DEPETRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2550 COUNTY ROAD 220, SUITE ONE, MIDDLEBURG, FL 32068-6532
(904) 272-6600
(904) 276-0550
Mailing address
2550 COUNTY ROAD 220, SUITE ONE, MIDDLEBURG, FL 32068-6532
(904) 272-6600
(904) 276-0550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15960
FL
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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