Petulla, Kristin Beth

Petulla, Kristin Beth is an individual health care provider with primary practice located at 43 East Main Street , Marlton NJ 08053. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Petulla, Kristin Beth can be contacted via phone (856) 983-4846.

Contact Information

Primary practice address
43 East Main Street Marlton NJ 08053
Fax: (856) 983-1054
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DI19324 New Jersey

Profile Details

NPI number 1922274745
LBN Legal business name Petulla, Kristin Beth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2008
Last updated May 1st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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