Provider Demographics
NPI:1790961811
Name:DANIELA PETRE DMD PC
Entity Type:Organization
Organization Name:DANIELA PETRE DMD PC
Other - Org Name:EASY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PETRE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:972-540-0605
Mailing Address - Street 1:210 N CUSTER RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-8005
Mailing Address - Country:US
Mailing Address - Phone:972-540-0605
Mailing Address - Fax:972-540-0173
Practice Address - Street 1:210 N CUSTER RD
Practice Address - Street 2:SUITE 150
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-8005
Practice Address - Country:US
Practice Address - Phone:972-540-0605
Practice Address - Fax:972-540-0173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty