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Petrova Dental Corporation
General Practice Dentistry in San Marcos, California
NPI 1568987915

Petrova Dental Corporation is a General Practice Dentistry based in San Marcos, CA and is specialized in General Practice. Petrova Dental Corporation practices in San Marcos, CA. The NPI Number for Petrova Dental Corporation is 1568987915 and holds a License No. 52100 (California).

The current practice location address for Petrova Dental Corporation is 997 W San Marcos Blvd Ste 106, San Marcos, CA and can be reached out via phone at 760-761-0905 and via fax at 760-761-0906.

Location: 997 W San Marcos Blvd Ste 106, San Marcos, CA, 92078-1136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568987915
Provider Name
Petrova Dental Corporation
Credential
Provider Entity Type
Organization
Address
997 W San Marcos Blvd Ste 106, San Marcos, CA, 92078-1136
Phone Number
760-761-0905
Fax Number
760-761-0906
Provider Enumeration Date
08/07/2017
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
52100 01 CA PPO
institution
Provider Business Practice Location Address Details
Address
997 W San Marcos Blvd Ste 106
City
San Marcos
State
California
Zip
92078-1136
Phone Number
760-761-0905
Fax Number
760-761-0906
person
Provider Business Mailing Address Details
Address
997 W San Marcos Blvd Ste 106
City
San Marcos
State
California
Zip
92078-1136
Phone Number
760-761-0905
Fax Number
760-761-0906
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
52100 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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