| NPI | 1700563939 |
|---|---|
| Doing Business As | PETRAS ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | VAN PHI LE Credentialing Manager 267-575-2321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |