Organization
PETER T CRACCHIOLO JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER THOMAS CRACCHIOLO JR. DDS (PRESIDENT)
(313) 570-8375
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/17/2016
Last updated
01/17/2016
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