Charise Marie Petrelli D.D.S.

NPI 1891867073 - Dentist - 122300000X

NPI Details
NPI 1891867073
Gender Female
Enumeration Date 11/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
577 PENNSYLVANIA AVE
SUITE 100
GLEN ELLYN IL, 60137-8302, US
Phone (630) 942-0727
Fax (630) 942-0136
Business Location
577 PENNSYLVANIA AVE
SUITE 100
GLEN ELLYN IL, 60137-8302, US
Phone (630) 942-0727
Fax (630) 942-0136
Toxanomy
Taxonomy Code 122300000X
License State
License Number
Remove 1891867073 NPI Number
 

According to our database, Dr. Charise Marie Petrelli D.D.S. NPI is 1891867073, taxonomy code is 122300000X Charise Marie Petrelli D.D.S. physically located at 577 Pennsylvania Ave, Glen Ellyn IL, 60137-8302. NPI Number Charise Marie Petrelli D.D.S. has the Individual type.

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1891867073 NPI number is provided on an as is basis without warranty of any kind. 1891867073 is maintained by the National Plan & Provider Enumeration System. The contents of Charise Marie Petrelli D.D.S. are for informational purposes only.