Petruk, Mariel
Petruk, Mariel is an individual health care provider with primary practice located at 416 Se 11Th Court , Fort Lauderdale FL 33316. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Petruk, Mariel can be contacted via phone (954) 787-6469.Contact Information
Primary practice address
416 Se 11Th Court
Fort Lauderdale FL 33316
Phone: (954) 787-6469
Fax: (954) 787-6470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN 20744 | Florida |
Profile Details
| NPI number | 1518373018 |
|---|---|
| LBN Legal business name | Petruk, Mariel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2014 |
| Last updated | Jan 29th, 2024 - about 2 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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