DR. David Mark Petrucco, DDS

NPI #1275603052 in Harrison, New York

Provider Information

NPI Number: 1275603052
Entity Type: Individual
Name: DR. David Mark Petrucco, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 149 HALSTEAD AVE
City: Harrison
State: New York
ZIP Code: 10528-4137
Phone: (914) 835-3488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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