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Individual

DR. DANIEL S PETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 896-4484
(360) 896-4489
Mailing address
17146 SE 23RD DR, UNIT 53, VANCOUVER, WA 98683-4314
(360) 883-5396

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005473
WA

Other

Enumeration date
07/20/2006
Last updated
07/08/2007
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