Individual
MICHAEL PETRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 SHELLY DR, INDIANA, PA 15701-2395
(724) 463-8050
Mailing address
2121 SHELLY DR, INDIANA, PA 15701-2395
(724) 463-8050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS016503L
PA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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