Individual
DANIEL J PETROCELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PA
Contact information
Practice address
4551 NEW BERN AVE, RALEIGH, NC 27610-1551
(919) 231-6024
(919) 231-8121
Mailing address
3060 GRANVILLE DR, RALEIGH, NC 27609-6918
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6253
NC
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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