AUGUSTUS ALLEN PETTICOLAS

LYNCHBURG, VA
NPI1023178316
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  04977)
Enumeration Date2006-12-09
Last Update Date2007-07-09
Business Address
Dr. AUGUSTUS ALLEN PETTICOLAS D.D.S.
1342 PARK AVE
LYNCHBURG, VA 24501-1824
Phone number: 434-528-3375
Mailing Address
Dr. AUGUSTUS ALLEN PETTICOLAS D.D.S.
1342 PARK AVE
LYNCHBURG, VA 24501-1824
Phone number: 434-528-3375
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