J Lee Pettigrew DDS PA
NPI #1619364114 in Southlake, Texas
Provider Information
- NPI Number
- 1619364114
- Entity Type
- Organization
- Organization Name
- J Lee Pettigrew DDS PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 22, 2015
- Last Updated
- Apr 22, 2015
Practice Location
Authorized Official
- Name
- DR. JERRY LEE PETTIGREW JR., DDS
- Title
- OWNER
- Phone
- (817) 481-4888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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