Petri Dental Corporation

NPI #1225534407 in Orange, California

Provider Information

NPI Number
1225534407
Entity Type
Organization
Organization Name
Petri Dental Corporation
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 5, 2018
Last Updated
Apr 5, 2018

Practice Location

Address
1111 W TOWN AND COUNTRY RD STE 44
City
Orange
ZIP Code
92868-4667
Phone
(714) 881-5500

Authorized Official

Name
DR. ODETA PETRI, DDS
Title
PRESIDENT
Phone
(619) 610-8388

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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