Organization
EUGENE PETTI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEMARIE PETTI (OFFICE MANAGER)
(508) 269-5326
Entity
Organization
Contact information
Practice address
5230 WASHINGTON ST, WEST ROXBURY, MA 02132-6346
(617) 325-4633
Mailing address
5230 WASHINGTON ST, WEST ROXBURY, MA 02132-6346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16648
MA
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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