David Pettit

NPI #1124620802 in Gresham, Oregon

Provider Information

NPI Number: 1124620802
Entity Type: Individual
Name: David Pettit
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Denturist
Enumeration Date: Nov 9, 2020
Last Updated: Jul 8, 2025

Practice Location

Address: 1584 NE 8TH ST STE 208
City: Gresham
State: Oregon
ZIP Code: 97030-5746
Phone: (503) 230-0207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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