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Organization
PETRI DENTAL CORPORATION
Active
Organization
PETRI DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ODETA PETRI DDS (PRESIDENT)
(619) 610-8388
Entity
Organization
Contact information
Practice address
1111 W TOWN AND COUNTRY RD STE 44, ORANGE, CA 92868-4667
(714) 881-5500
Mailing address
3700 S PLAZA DR APT KPH 2, SANTA ANA, CA 92704-7464
(619) 610-8388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
63838
CA
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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