DR. Cynthia Marion Peticolas, DMD

NPI #1134180714 in Mill City, Oregon

Provider Information

NPI Number: 1134180714
Entity Type: Individual
Name: DR. Cynthia Marion Peticolas, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Mar 31, 2006
Last Updated: May 26, 2015

Practice Location

Address: 548 S 1ST AVE
City: Mill City
State: Oregon
ZIP Code: 97360
Phone: (503) 897-2353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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