| Jonathan S. Petrover | |
|
9804 S Military Trl Ste E4 Boynton Beach FL 33436-3291 | |
| (561) 364-0013 | |
| (561) 364-9292 |
| Full Name | Jonathan S. Petrover |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 9804 S Military Trl Ste E4, Boynton Beach, Florida |
| Authorized Official Name and Position | Jonathan S Petrover (DOCTOR) |
| Authorized Official Contact | 5613640013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan S. Petrover 9804 S Military Trl Ste E4 Boynton Beach FL 33436-3291 Ph: (561) 364-0013 | Jonathan S. Petrover 9804 S Military Trl Ste E4 Boynton Beach FL 33436-3291 Ph: (561) 364-0013 |
| NPI Number | 1760601991 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760601991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN14233 (Florida) | Primary |
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