Individual
DR. PHILLIP ANTHONY PETITTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
206 MARKET ST, HAMMOND, LA 70401-2818
(985) 345-9139
(985) 345-9192
Mailing address
206 MARKET ST, HAMMOND, LA 70401-2818
(985) 345-9139
(985) 345-9192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6313
LA
Other
Enumeration date
08/15/2012
Last updated
06/30/2015
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