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Organization
PETROVA DENTAL CORPORATION
Active
Organization
PETROVA DENTAL CORPORATION
Active
Other names
Health & Beauty Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIA PETROVA DMD (DENTIST)
(760) 761-0905
Entity
Organization
Contact information
Practice address
997 W SAN MARCOS BLVD STE 106, SAN MARCOS, CA 92078-1136
(760) 761-0905
(760) 761-0906
Mailing address
997 W SAN MARCOS BLVD STE 106, SAN MARCOS, CA 92078-1136
(760) 761-0905
(760) 761-0906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52100
PPO
CA
Enumeration date
08/07/2017
Last updated
07/21/2022
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