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PETROS.TOMA&PUTRUS DENTAL CORP NPI 1548320849


NPI Information

NPI: 1548320849
Provider Name: PETROS.TOMA&PUTRUS DENTAL CORP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4844 UNIVERSITY AVE
SUITE B
SAN DIEGO, CA
ZIP 92105
Phone: (619) 285-5010
Get Directions

PETROS.TOMA&PUTRUS DENTAL CORP is a general practice dentist in San Diego, CA. The provider is 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. PETROS.TOMA&PUTRUS DENTAL CORP NPI is 1548320849. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4844 UNIVERSITY AVE
SUITE B
SAN DIEGO, CA
ZIP 92105-021
Phone: (619) 285-5010
Fax: (619) 285-5013

The provider's authorized official is Dhafir J Petros .
The authorized official title is Dentist and has the following contact phone number (619) 285-5010.

The enumeration date for this NPI number is 12/10/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice47154CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D47154MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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