Petenko, Gary John
Petenko, Gary John is an sole proprietor health care provider with primary practice located at 3 Palomino Way , Marlboro NJ 07746-1948. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Petenko, Gary John can be contacted via phone (732) 462-7072.Contact Information
Primary practice address
3 Palomino Way
Marlboro NJ 07746-1948
Phone: (732) 462-7072
Fax: (732) 294-7714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DIO1093200 | New Jersey |
Profile Details
| NPI number | 1205924149 |
|---|---|
| LBN Legal business name | Petenko, Gary John |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Mar 31st, 2010 - 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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