Taylor V Pettit, DDS

NPI #1982448759 in Logan, Utah

Provider Information

NPI Number: 1982448759
Entity Type: Individual
Name: Taylor V Pettit, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 25, 2024
Last Updated: Jul 2, 2024

Practice Location

Address: 167 E 200 N STE 3
City: Logan
State: Utah
ZIP Code: 84321-4049
Phone: (435) 363-3584

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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