Frank A Pettisani SR. DMD

NPI 1699875575 - Dentist - 1223G0001X

NPI Details
NPI 1699875575
Gender Male
Enumeration Date 09/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1500 S LINCOLN AVE
VINELAND NJ, 03361, US
Phone (856) 691-2553
Fax (856) 691-3370
Business Location
1500 S LINCOLN AVE
VINELAND NJ, 03361, US
Phone (856) 691-2553
Fax (856) 691-3370
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number 22D100727200
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According to our database, Frank A Pettisani SR. DMD NPI is 1699875575, taxonomy code is 1223G0001X and license number is 22D100727200, license state is located at New Jersey. Frank A Pettisani SR. DMD physically located at 1500 S Lincoln Ave, Vineland NJ, 03361. NPI Number Frank A Pettisani SR. DMD has the Individual type.

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1699875575 NPI number is provided on an as is basis without warranty of any kind. 1699875575 is maintained by the National Plan & Provider Enumeration System. The contents of Frank A Pettisani SR. DMD are for informational purposes only.