DR. Dennis Michael Petricoin SR., DDS
NPI #1588770176 in Wyomissing, Pennsylvania
Provider Information
- NPI Number
- 1588770176
- Entity Type
- Individual
- Name
- DR. Dennis Michael Petricoin SR., DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 224 OAK HILL LN
- City
- Wyomissing
- State
- Pennsylvania
- ZIP Code
- 19610-3215
- Phone
- (610) 374-9163
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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