Lyle Petrutsas, DDS
NPI 1740429828 · on the registry since 2009
Practice
- Address
- 3131 Harvard Ave Ste 107
Dallas, TX 75205 - Phone
- (214) 521-2258
- Fax
- (214) 521-3425
- Organisation at this address
- Harvard Avenue Dental Care Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas