Organization
A. GIL PETTIT III, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN GILDEROY PETTIT III D.D.S. (OWNER)
(910) 686-3619
Entity
Organization
Contact information
Practice address
9111 MARKET ST, UNIT B, WILMINGTON, NC 28411-7995
(910) 686-3619
(910) 686-7165
Mailing address
9111 MARKET ST, UNIT B, WILMINGTON, NC 28411-7995
(910) 686-3619
(910) 686-7165
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5676
NC
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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