Individual
DR. RICHARD A. PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2050 HUNTINGTON DR, SUITE B, SOUTH PASADENA, CA 91030-4900
(626) 441-2255
(626) 441-2242
Mailing address
2050 HUNTINGTON DR, SUITE B, SOUTH PASADENA, CA 91030-4900
(626) 441-2255
(626) 441-2242
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DD034401
CA
Other
Enumeration date
07/31/2006
Last updated
09/29/2008
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