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Individual

DR. WILLIAM D. PETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
4233 W 95TH ST, 2ND FLOOR, OAK LAWN, IL 60462
(708) 636-2900
(708) 636-3337
Mailing address
4233 W 95TH ST, 2ND FLOOR, OAK LAWN, IL 60453-2623
(708) 636-2900
(708) 636-3337

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019-A14386
IL

Other

Enumeration date
12/28/2006
Last updated
07/08/2007
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