Individual
DR. CHARISE MARIE PETRELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
577 PENNSYLVANIA AVE, SUITE 100, GLEN ELLYN, IL 60137-8302
(630) 942-0727
(630) 942-0136
Mailing address
577 PENNSYLVANIA AVE, SUITE 100, GLEN ELLYN, IL 60137-8302
(630) 942-0727
(630) 942-0136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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