Organization
PETRUNICH ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND PETRUNICH DDS (OWNER)
(302) 690-8822
Entity
Organization
Contact information
Practice address
2444 PULASKI HWY # 100, NEWARK, DE 19702-3906
(302) 836-3565
(302) 836-0868
Mailing address
2444 PULASKI HWY # 100, NEWARK, DE 19702-3906
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1136
DE
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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