DR. Gary John Petenko, DMD
NPI #1205924149 in Marlboro, New Jersey
Provider Information
- NPI Number
- 1205924149
- Entity Type
- Individual
- Name
- DR. Gary John Petenko, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Oct 10, 2006
- Last Updated
- Mar 31, 2010
Practice Location
- Address
- 3 PALOMINO WAY
- City
- Marlboro
- State
- New Jersey
- ZIP Code
- 07746-1948
- Phone
- (732) 462-7072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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