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Organization
PETROS.TOMA&PUTRUS DENTAL CORP
Active
Organization
PETROS.TOMA&PUTRUS DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHAFIR J PETROS DDS (DENTIST)
(619) 285-5010
Entity
Organization
Contact information
Practice address
4844 UNIVERSITY AVE, SUITE B, SAN DIEGO, CA 92105-8021
(619) 285-5010
(619) 285-5013
Mailing address
4844 UNIVERSITY AVE, SUITE B, SAN DIEGO, CA 92105-8021
(619) 285-5010
(619) 285-5013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47154
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D47154
—
CA
Enumeration date
12/10/2006
Last updated
08/22/2020
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