Organization
KAREN Y. PETTY, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN PETTY DDS (PRESIDENT)
(919) 875-1630
Entity
Organization
Contact information
Practice address
310 W MILLBROOK RD, SUITE 100, RALEIGH, NC 27609-4599
(919) 875-1630
(919) 875-1629
Mailing address
310 W MILLBROOK RD, SUITE 100, RALEIGH, NC 27609-4599
(919) 875-1630
(919) 875-1629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6633
NC
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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