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Eugene Petti DDS PC

Dentist, General Practice in West Roxbury, MA. Organization (NPI-2).

NPI number1497928352
StatusActive
Last updated in NPPESApr 10, 2008

Details

NPI
1497928352
Entity type
Organization (NPI-2)
Legal business name
Eugene Petti DDS PC
Organization subpart
No
Enumeration date
Apr 10, 2008
Last updated
Apr 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice16648MAYes

Practice location

5230 Washington St
West Roxbury, MA 02132-6346

Phone 617-325-4633

Mailing address

5230 Washington St
West Roxbury, MA 02132-6346

Authorized official

Rosemarie Petti
Office Manager
5082695326

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