Craig Pettengill, D.D.S

NPI 1992914410 · on the registry since 2007 · sole proprietor

Practice

Address: 1660 Westwood Dr Ste E
San Jose, CA 95125
Phone: (408) 269-9180
Fax: (408) 269-9199
Organisation at this address: Gong-Guy Dental Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 California