Organization
NELSON M PETROV DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON M PETROV DDS (OWNER DENTIST)
(440) 366-5530
Entity
Organization
Contact information
Practice address
1212 NORTH ABBE RD STE C, ELYRIA, OH 44035-1649
(440) 366-5530
(440) 366-5211
Mailing address
1212 NORTH ABBE RD STE C, ELYRIA, OH 44035-1649
(440) 366-5530
(440) 366-5211
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
12537
—
1223E0200X
Endodontics
Primary
20368
—
1223G0001X
General Practice Dentistry
12537
—
Other
Enumeration date
11/21/2006
Last updated
07/23/2008
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