Individual
DR. PAUL S. PETROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
960 S. ST. AUGUSTINE ST, PULASKI, WI 54162-0739
(920) 822-8111
(920) 822-2198
Mailing address
PO BOX 739, PULASKI, WI 54162-0739
(920) 822-8111
(920) 822-2198
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4984
WI
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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