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Dr. Dusanka Petkovic, DDS
General Practice Dentistry in San Clemente, California
NPI 1891820791

Dusanka Petkovic is a General Practice Dentistry based in San Clemente, CA and is specialized in General Practice. Dusanka Petkovic practices in San Clemente, CA and has the professional credentials of DDS. The NPI Number for Dusanka Petkovic is 1891820791 and holds a License No. 53194 (California).

The current practice location address for Dusanka Petkovic is 106 S Ola Vista, San Clemente, CA and can be reached out via phone at 949-481-2540 and via fax at 949-481-2544.

Location: 106 S Ola Vista, San Clemente, CA, 92672
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891820791
Provider Name
Dusanka Petkovic
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
106 S Ola Vista, San Clemente, CA, 92672
Phone Number
949-481-2540
Fax Number
949-481-2544
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CA 53194 01 CA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
106 S Ola Vista
City
San Clemente
State
California
Zip
92672
Phone Number
949-481-2540
Fax Number
949-481-2544
person
Provider Business Mailing Address Details
Address
106 S Ola Vista
City
San Clemente
State
California
Zip
92672
Phone Number
949-481-2540
Fax Number
949-481-2544
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
53194 (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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