Individual
DR. ANTHONY X PETCHALONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
248 S 21ST ST, PHILADELPHIA, PA 19103-4819
(215) 732-3350
(215) 732-2424
Mailing address
248 S 21ST ST, PHILADELPHIA, PA 19103-4819
(215) 732-3350
(215) 732-2424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035583
PA
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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