Individual
DR. JONATHAN BRYAN PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
9200 113TH ST, SEMINOLE, FL 33772-2800
(727) 893-5050
Mailing address
6195 25TH AVE N, ST PETERSBURG, FL 33710-4123
(904) 238-0999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DRPM2638
FL
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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