Most Relevant Information
Provider Data
| NPI Number: | 1003589367 |
| Provider Name: | PATRICK PIETRZAK |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DN26052 |
Most Important Dates
| Enumeration Date: | 07/31/2021 |
| Last Updated: | 07/31/2021 |
Provider Practice Location
8286 A1A S
SAINT AUGUSTINE
FL
320808307
Practice Location Phone/Fax
| Phone: | 9528433057 |
| Fax: |
Provider Mailing Location
8286 A1A S
SAINT AUGUSTINE
FL
320808307
Provider Mailing Phone/Fax
| Phone: | 9528433057 |
| Fax: |