DR. Augustus Allen Petticolas JR., D.D.S.

NPI #1023178316 in Lynchburg, Virginia

Provider Information

NPI Number
1023178316
Entity Type
Individual
Name
DR. Augustus Allen Petticolas JR., D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Dec 9, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
1342 PARK AVE
ZIP Code
24501-1824
Phone
(434) 528-3375

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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