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Individual
DON RAY PETTY
Active
Individual
DON RAY PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
38802
TX
1223G0001X
General Practice Dentistry
Primary
38802
TX
Other
Enumeration date
08/01/2022
Last updated
09/26/2024
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