Kristin Beth Petulla, DDS Valid NPI
Individual provider · Dentist · Marlton, NJ
- NPI
- 1922274745
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DI19324 (NJ)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-05-01
- Last updated
- 2008-05-01
Practice location
43 East Main Street
Marlton, NJ 08053
(856) 983-4846