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1407956055
CHARLES R. PETRIE
SAN DIEGO, CA
NPI
1407956055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 24588)
Enumeration Date
2006-09-24
Last Update Date
2007-07-08
Business Address
Dr. CHARLES R. PETRIE D.D.S.
6280 JACKSON DR SUITE 6
SAN DIEGO, CA 92119-3434
Phone number: 619-466-0194
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Mailing Address
Dr. CHARLES R. PETRIE D.D.S.
6280 JACKSON DR SUITE 6
SAN DIEGO, CA 92119-3434
Phone number: 619-466-0194
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