Individual
DR. PETER THOMAS CRACCHIOLO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
31700 TELEGRAPH RD, SUITE 100, BINGHAM FARMS, MI 48025-3407
(248) 433-6000
(248) 433-3650
Mailing address
417 OAK RUN CT, ROYAL OAK, MI 48073-3549
(313) 570-8375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
018001806
IL
122300000X
Dentist
Primary
2901020423
MI
Other
Enumeration date
04/07/2011
Last updated
01/19/2016
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