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Individual

DAVID PETTIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1584 NE 8TH ST STE 208, GRESHAM, OR 97030-5746
(503) 230-0207
(503) 230-0208
Mailing address
1584 NE 8TH ST STE 208, GRESHAM, OR 97030-5746
(503) 230-0207
(503) 230-0208

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary

Other

Enumeration date
11/09/2020
Last updated
07/08/2025
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