| Petrunich Oral Surgery | |
|
2444 Pulaski Hwy # 100 Newark DE 19702-3906 | |
| (302) 836-3565 | |
| (302) 836-0868 |
| Full Name | Petrunich Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2444 Pulaski Hwy # 100, Newark, Delaware |
| Authorized Official Name and Position | Raymond Petrunich (OWNER) |
| Authorized Official Contact | 3026908822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petrunich Oral Surgery 2444 Pulaski Hwy # 100 Newark DE 19702-3906 Ph: () - | Petrunich Oral Surgery 2444 Pulaski Hwy # 100 Newark DE 19702-3906 Ph: (302) 836-3565 |
| NPI Number | 1548705197 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 01/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548705197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 1136 (Delaware) | Primary |
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