Dr. Cyrus R Pettis, DMD
Dentist, General Practice in Pompano Beach, FL. Individual provider (NPI-1).
NPI number1508071192
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1508071192
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cyrus R Pettis
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 14, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 7571 | FL | Yes |
Practice location
200 N Flagler AvePompano Beach, FL 33060-6636
Phone 954-782-4001 · Fax 954-782-8702
Mailing address
200 N Flagler AvePompano Beach, FL 33060-6636
Phone 954-782-4001 · Fax 954-782-8702
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