Individual
DR. MARY T PETTIETTE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
91 AVIEMORE DR, PINEHURST, NC 28374-9797
(910) 295-9950
(801) 640-9294
Mailing address
91 AVIEMORE DR, PINEHURST, NC 28374-9797
(910) 295-9950
(801) 640-9294
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6076
NC
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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