Individual
ANTOINETTE M PETTITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
457 EAST 87TH STREET, CHICAGO, IL 60619
(773) 994-4433
(773) 994-9846
Mailing address
457 EAST 87TH STREET, CHICAGO, IL 60619
(773) 994-4433
(773) 994-9846
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
021.001448
IL
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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