| Petri Dental Corporation | |
|
1111 W Town And Country Rd Ste 44 Orange CA 92868-4667 | |
| (714) 881-5500 | |
| Not Available |
| Full Name | Petri Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1111 W Town And Country Rd Ste 44, Orange, California |
| Authorized Official Name and Position | Odeta Petri (PRESIDENT) |
| Authorized Official Contact | 6196108388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petri Dental Corporation 3700 S Plaza Dr Apt Kph 2 Santa Ana CA 92704-7464 Ph: (619) 610-8388 | Petri Dental Corporation 1111 W Town And Country Rd Ste 44 Orange CA 92868-4667 Ph: (714) 881-5500 |
| NPI Number | 1225534407 |
|---|---|
| Provider Enumeration Date | 04/05/2018 |
| Last Update Date | 04/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225534407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 63838 (California) | Primary |
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