Jonathan S. Petrover

NPI #1750509931 in Greenacres, Florida

Provider Information

NPI Number: 1750509931
Entity Type: Organization
Organization Name: Jonathan S. Petrover
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Apr 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 6609 FOREST HILL BLVD
City: Greenacres
State: Florida
ZIP Code: 33413-3303
Phone: (561) 433-0008

Authorized Official

Name: DR. JONATHAN S PETROVER, DDS
Title: DOCTOR
Phone: (561) 433-0008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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