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1760574701
MARK LOUIS PETTIT
SALT LAKE CITY, UT
NPI
1760574701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 2763579922)
Enumeration Date
2006-09-28
Last Update Date
2015-03-19
Business Address
Dr. MARK LOUIS PETTIT DDS
1060 E 100 S SUITE 302
SALT LAKE CITY, UT 84102-1501
Phone number: 801-328-1633
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Mailing Address
Dr. MARK LOUIS PETTIT DDS
1060 E 100 S SUITE 302
SALT LAKE CITY, UT 84102-1501
Phone number: 801-328-1633
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