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PETROVA DENTAL CORPORATION NPI 1568987915


NPI Information

NPI: 1568987915
Provider Name: PETROVA DENTAL CORPORATION

Doing Business As: HEALTH & BEAUTY DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
997 W SAN MARCOS BLVD STE 106
SAN MARCOS, CA
ZIP 92078
Phone: (760) 761-0905
Get Directions

PETROVA DENTAL CORPORATION is a general practice dentist in San Marcos, 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. PETROVA DENTAL CORPORATION NPI is 1568987915. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Health & Beauty Dental Center.

The provider's business location address is:

997 W SAN MARCOS BLVD STE 106
SAN MARCOS, CA
ZIP 92078-136
Phone: (760) 761-0905
Fax: (760) 761-0906

The provider's authorized official is Natalia Petrova .
The authorized official title is Dentist and has the following contact phone number (760) 761-0905.

The enumeration date for this NPI number is 8/7/2017 and was last updated on 8/7/2017.


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 Practice52100CALIFORNIAYes

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
152100OTHERCALIFORNIAPPO

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: 11/14/2023

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