Individual
DOMINIQUE PETRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10670 SW TRADITION PKWY, PORT SAINT LUCIE, FL 34987-2862
(772) 345-8332
Mailing address
10280 SW STEPHANIE WAY UNIT 8201, PORT SAINT LUCIE, FL 34987-1962
(570) 401-5478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28243
FL
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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