Organization
DANIEL J PETROCELLA DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA JESSEE MORKUNAS CDA (OFFICE MANAGER)
(919) 231-6024
Entity
Organization
Contact information
Practice address
4551 NEW BERN AVE, STE 195, RALEIGH, NC 27610
(919) 231-6024
(919) 231-8121
Mailing address
4551 NEW BERN AVE, SUITE 195, RALEIGH, NC 27610
(919) 231-6024
(919) 231-8121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6253
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8996838
—
NC
Enumeration date
01/10/2007
Last updated
07/14/2008
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