Individual
DR. ERIC O PETTIT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4820 WEST TAFT ROAD, SUITE 204, LIVERPOOL, NY 13088
(315) 457-2011
Mailing address
4820 WEST TAFT ROAD, SUITE 204, LIVERPOOL, NY 13088
(315) 457-2011
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0246409
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00562249
—
NY
Enumeration date
10/31/2005
Last updated
07/08/2007
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