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Faraji Petty
NPI 1952073256 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1000 E 5th St Apt 440
Austin, TX 78702 - Phone
- (312) 931-7677
- Organisation at this address
- East Austin Dental
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-05
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