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Dr. Patrick Pietrzak

Dentist in Saint Augustine, FL. Individual provider (NPI-1).

NPI number1003589367
StatusActive
Last updated in NPPESJul 31, 2021

Details

NPI
1003589367
Entity type
Individual (NPI-1)
Name
Dr. Patrick Pietrzak
Sex
Male
Sole proprietor
No
Enumeration date
Jul 31, 2021
Certification date
Jul 31, 2021
Last updated
Jul 31, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN26052FLYes

Practice location

8286 A1a S
Saint Augustine, FL 32080-8307

Phone 952-843-3057

Mailing address

8286 A1a S
Saint Augustine, FL 32080-8307

Phone 952-843-3057

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