Individual
DR. CONRAD PETTIT MCVEA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2016 WASHINGTON ST, FRANKLINTON, LA 70438-2533
(985) 839-4138
(985) 839-6253
Mailing address
1022 NEEDLE RD, FRANKLINTON, LA 70438-2500
(985) 839-5500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4294
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1842940
—
LA
Enumeration date
06/23/2005
Last updated
07/09/2007
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