Individual
DR. LISA MARIE PETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
29090 EUCLID AVE., WICKLIFFE, OH 44092
(440) 943-0266
(440) 943-0292
Mailing address
29090 EUCLID AVE., WICKLIFFE, OH 44092
(440) 943-0266
(440) 943-0292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.017615
OH
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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