MR. Dale Lawrence Petrich, DDS

NPI #1407950595 in Tukwila, Washington

Provider Information

NPI Number: 1407950595
Entity Type: Individual
Name: MR. Dale Lawrence Petrich, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6720 FORT DENT WAY
Address 2: SUITE #210
City: Tukwila
State: Washington
ZIP Code: 98188
Phone: (206) 433-5595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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