Individual
DR. DAVID E. PETTEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2550 DOUGLAS BLVD STE 150, ROSEVILLE, CA 95661-3997
(916) 783-6003
(916) 783-6023
Mailing address
2550 DOUGLAS BLVD STE 150, ROSEVILLE, CA 95661-3997
(916) 783-6003
(916) 783-6023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
15445
TX
1223G0001X
General Practice Dentistry
Primary
37004
CA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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