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Dr. Richard A. Petty, DDS
Oral and Maxillofacial Surgery (Dentist) in South Pasadena, California
NPI 1831105105

Richard A. Petty is a Oral and Maxillofacial Surgery (Dentist) based in South Pasadena, CA and is specialized in Oral and Maxillofacial Surgery. Richard A. Petty practices in South Pasadena, CA and has the professional credentials of DDS. The NPI Number for Richard A. Petty is 1831105105 and holds a License No. DD034401 (California).

The current practice location address for Richard A. Petty is 2050 Huntington Dr, South Pasadena, CA and can be reached out via phone at 626-441-2255 and via fax at 626-441-2242.

Location: 2050 Huntington Dr, South Pasadena, CA, 91030-4900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831105105
Provider Name
Richard A. Petty
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2050 Huntington Dr, South Pasadena, CA, 91030-4900
Phone Number
626-441-2255
Fax Number
626-441-2242
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2050 Huntington Dr
City
South Pasadena
State
California
Zip
91030-4900
Phone Number
626-441-2255
Fax Number
626-441-2242
person
Provider Business Mailing Address Details
Address
2050 Huntington Dr
City
South Pasadena
State
California
Zip
91030-4900
Phone Number
626-441-2255
Fax Number
626-441-2242
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DD034401 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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