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1437603339
TIMOTHY JAMES PETTIS
MILWAUKEE, WI
NPI
1437603339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WI 1001406-15)
Enumeration Date
2016-08-09
Last Update Date
2016-08-09
Business Address
-- TIMOTHY JAMES PETTIS D.D.S
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: 414-384-2000
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Mailing Address
-- TIMOTHY JAMES PETTIS D.D.S
706 E JUNEAU AVE # 3
MILWAUKEE, WI 53202-2709
Phone number: 402-206-1986
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