Individual
DR. ALISON PETIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1961
(973) 423-0789
Mailing address
290 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1961
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DI02142400
NJ
Other
Enumeration date
11/25/2011
Last updated
11/25/2011
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