J LEE PETTIGREW DDS PA

SOUTHLAKE, TX
NPI1619364114
Entity TypeOrganization
Authorized ContactJERRY LEE PETTIGREW
Owner
817-481-4888
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: TX  15943)
Enumeration Date2015-04-22
Last Update Date2015-04-22
Business Address
J LEE PETTIGREW DDS PA
201 PLAYERS CIR STE 100
SOUTHLAKE, TX 76092-6944
Phone number: 817-481-4888
Mailing Address
J LEE PETTIGREW DDS PA
201 PLAYERS CIR STE 100
SOUTHLAKE, TX 76092-6944
Phone number: 817-481-4888
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