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1740429828
LYLE PETRUTSAS
DALLAS, TX
NPI
1740429828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 18774)
Enumeration Date
2009-02-12
Last Update Date
2009-09-15
Business Address
Dr. LYLE PETRUTSAS DDS
3131 HARVARD AVE STE 107
DALLAS, TX 75205-3437
Phone number: 214-521-2258
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Mailing Address
Dr. LYLE PETRUTSAS DDS
3131 HARVARD AVE STE 107
DALLAS, TX 75205-3437
Phone number: 214-521-2258
Copy
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