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Individual

MRS. CLARINA P PETROVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
23205 BAY OAKS AVE, PARKER, CO 80138-5742
(808) 352-9132
Mailing address
23205 BAY OAKS AVE, PARKER, CO 80138-5742
(808) 352-9132

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
0402203045
VA
124Q00000X
Dental Hygienist
1696
HI
124Q00000X
Dental Hygienist
Primary
DH.002025196
CO
124Q00000X
Dental Hygienist

Other

Enumeration date
06/15/2015
Last updated
01/13/2022
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