Individual
MRS. PATRICIA PETRUSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
530 S MAIN ST, ORANGE, CA 92868-4525
(800) 579-3783
Mailing address
530 S MAIN ST, ORANGE, CA 92868-4525
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26527
CA
Other
Enumeration date
08/03/2013
Last updated
09/20/2016
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