DR. Peter J Detolla, DDS

NPI #1932100161 in Levittown, New York

Provider Information

NPI Number: 1932100161
Entity Type: Individual
Name: DR. Peter J Detolla, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 10, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 58 CHURCH RD
City: Levittown
State: New York
ZIP Code: 11756-2232
Phone: (516) 735-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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