| David S Petrik Dds Pa | |
|
1760 N Fort Harrison Ave Clearwater FL 33755-1706 | |
| (727) 442-4646 | |
| (727) 442-3542 |
| Full Name | David S Petrik Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 1760 N Fort Harrison Ave, Clearwater, Florida |
| Authorized Official Name and Position | David S Petrik (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 7274424646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David S Petrik Dds Pa 1760 N Fort Harrison Ave Clearwater FL 33755-1706 Ph: (727) 442-4646 | David S Petrik Dds Pa 1760 N Fort Harrison Ave Clearwater FL 33755-1706 Ph: (727) 442-4646 |
| NPI Number | 1508939927 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508939927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN 13150 (Florida) | Primary |
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