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1023178316
AUGUSTUS ALLEN PETTICOLAS
LYNCHBURG, VA
NPI
1023178316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 04977)
Enumeration Date
2006-12-09
Last Update Date
2007-07-09
Business Address
Dr. AUGUSTUS ALLEN PETTICOLAS D.D.S.
1342 PARK AVE
LYNCHBURG, VA 24501-1824
Phone number: 434-528-3375
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Mailing Address
Dr. AUGUSTUS ALLEN PETTICOLAS D.D.S.
1342 PARK AVE
LYNCHBURG, VA 24501-1824
Phone number: 434-528-3375
Copy
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