Individual
DR. DENNIS MICHAEL PETRICOIN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
224 OAK HILL LN, WYOMISSING, PA 19610-3215
(610) 374-9163
Mailing address
224 OAK HILL LN, WYOMISSING, PA 19610-3215
(610) 374-9163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS017007
PA
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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