DR. Charise Marie Petrelli, D.D.S.

NPI #1891867073 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1891867073
Entity Type: Individual
Name: DR. Charise Marie Petrelli, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Nov 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 577 PENNSYLVANIA AVE
Address 2: SUITE 100
City: Glen Ellyn
State: Illinois
ZIP Code: 60137-8302
Phone: (630) 942-0727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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