DR. Taylor R Petrich, DMD

NPI #1609484138 in Troy, Illinois

Provider Information

NPI Number: 1609484138
Entity Type: Individual
Name: DR. Taylor R Petrich, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 21, 2020
Last Updated: Oct 3, 2022

Practice Location

Address: 212 E MARKET ST
City: Troy
State: Illinois
ZIP Code: 62294-1512
Phone: (618) 283-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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