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J Lee Pettigrew Dds Pa
Dental Clinic/Center in Southlake, Texas
NPI 1619364114

J Lee Pettigrew Dds Pa is a Dental Clinic/Center based in Southlake, TX and is specialized in Dental. J Lee Pettigrew Dds Pa practices in Southlake, TX. The NPI Number for J Lee Pettigrew Dds Pa is 1619364114 and holds a License No. 15943 (Texas).

The current practice location address for J Lee Pettigrew Dds Pa is 201 Players Cir, Southlake, TX and can be reached out via phone at 817-481-4888 and via fax at 817-421-7370.

Location: 201 Players Cir, Southlake, TX, 76092-6944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619364114
Provider Name
J Lee Pettigrew Dds Pa
Credential
Provider Entity Type
Organization
Address
201 Players Cir, Southlake, TX, 76092-6944
Phone Number
817-481-4888
Fax Number
817-421-7370
Provider Enumeration Date
04/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 Players Cir
City
Southlake
State
Texas
Zip
76092-6944
Phone Number
817-481-4888
Fax Number
817-421-7370
person
Provider Business Mailing Address Details
Address
201 Players Cir
City
Southlake
State
Texas
Zip
76092-6944
Phone Number
817-481-4888
Fax Number
817-421-7370
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
15943 (Texas)
Definition
Definition to come...
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