DAVID SHANE PETRIE

FAYETTEVILLE, GA
NPI1104957521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: GA  8534)
Enumeration Date2007-03-08
Last Update Date2007-07-08
Business Address
Dr. DAVID SHANE PETRIE DDS
320 N JEFF DAVIS DR STE B
FAYETTEVILLE, GA 30214-1669
Phone number: 770-461-3921
Mailing Address
Dr. DAVID SHANE PETRIE DDS
320 N JEFF DAVIS DR STE B
FAYETTEVILLE, GA 30214-1669
Phone number: 770-461-3921
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