Individual
DR. DAVID ALAN PETROSELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
640 E SAINT CHARLES RD, 204, CAROL STREAM, IL 60188-3083
(630) 653-7890
(630) 653-2394
Mailing address
640 E SAINT CHARLES RD, 204, CAROL STREAM, IL 60188-3083
(630) 653-7890
(630) 653-2394
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19A14384
IL
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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