Petty, Richard A.
Petty, Richard A. is an sole proprietor health care provider with primary practice located at 2050 Huntington Dr Suite B, South Pasadena CA 91030-4900. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Petty, Richard A. can be contacted via phone (626) 441-2255.Contact Information
Primary practice address
2050 Huntington Dr Suite B
South Pasadena CA 91030-4900
Phone: (626) 441-2255
Fax: (626) 441-2242
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DD034401 | California |
Profile Details
NPI number | 1831105105 |
---|---|
LBN Legal business name | Petty, Richard A. |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 31st, 2006 |
Last updated | Sep 29th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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