person
David Pettit
Denturist in Portland, Oregon
NPI 1124620802

David Pettit is a Denturist based in Portland, OR. David Pettit practices in Portland, OR. The NPI Number for David Pettit is 1124620802 and holds a License No. (Oregon).

The current practice location address for David Pettit is 200 Ne 20Th Ave Ste 100, Portland, OR and can be reached out via phone at 503-230-0207 and via fax at 503-230-0208.

Location: 200 Ne 20Th Ave Ste 100, Portland, OR, 97232-3094
person
Provider Profile Details
NPI Number
1124620802
Provider Name
David Pettit
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 Ne 20Th Ave Ste 100, Portland, OR, 97232-3094
Phone Number
503-230-0207
Fax Number
503-230-0208
Provider Enumeration Date
11/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Ne 20Th Ave Ste 100
City
State
Zip
97232-3094
Phone Number
503-230-0207
Fax Number
503-230-0208
person
Provider Business Mailing Address Details
Address
200 Ne 20Th Ave Ste 100
City
State
Zip
97232-3094
Phone Number
503-230-0207
Fax Number
503-230-0208
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come.
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