Individual
DR. RAYMOND WAYNE PETRUNICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2444 PULASKI HWY, #100, NEWARK, DE 19702-3906
(302) 836-3565
(302) 836-0868
Mailing address
2444 PULASKI HIGHWAY, #100, NEWARK, DE 19702-3906
(302) 836-3565
(302) 836-0868
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
G1-001136
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000014361
—
DE
Enumeration date
05/11/2006
Last updated
01/09/2017
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