Individual
JEFFREY BRIAN PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
350 W FULTON ST, WYTHEVILLE, VA 24382-1007
(276) 228-2777
(276) 228-6219
Mailing address
350 W FULTON ST, WYTHEVILLE, VA 24382-1007
(276) 228-2777
(276) 228-6219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413631
VA
Other
Enumeration date
06/14/2012
Last updated
02/13/2013
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