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Individual
LORI JOHNSON PETREE
Active
Individual
LORI JOHNSON PETREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7541
NC
1223G0001X
General Practice Dentistry
Primary
D011603
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902H2
—
NC
Enumeration date
01/16/2007
Last updated
02/16/2023
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