Individual
DON RAY PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2358 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78223-2263
(210) 364-2561
Mailing address
12303 FORT CHADBORNE, SAN ANTONIO, TX 78245-4433
(210) 995-5123
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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