Charlotte C. Petty D.D.S.

NPI 1174714042 - Dentist - 1223G0001X

NPI Details
NPI 1174714042
Gender Female
Enumeration Date 08/06/2007
Last Updated 08/06/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1148 CONCORD RD SE
SMYRNA GA, 30080-4263, US
Phone (770) 434-9262
Fax (770) 434-0420
Business Location
1148 CONCORD RD SE
SMYRNA GA, 30080-4263, US
Phone (770) 434-9262
Fax (770) 434-0420
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number 010162
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According to our database, Charlotte C. Petty D.D.S. NPI is 1174714042, taxonomy code is 1223G0001X and license number is 010162, license state is located at Georgia. Charlotte C. Petty D.D.S. physically located at 1148 Concord Rd Se, Smyrna GA, 30080-4263. NPI Number Charlotte C. Petty D.D.S. has the Individual type.

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1174714042 NPI number is provided on an as is basis without warranty of any kind. 1174714042 is maintained by the National Plan & Provider Enumeration System. The contents of Charlotte C. Petty D.D.S. are for informational purposes only.