Individual
ELENA PETROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3103 FRUITVILLE RD, SARASOTA, FL 34237-5341
(941) 953-2111
Mailing address
3103 FRUITVILLE RD, SARASOTA, FL 34237-5341
(941) 953-2111
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN21853
FL
Other
Enumeration date
04/09/2014
Last updated
07/11/2016
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