Petrov, Vennessa
Petrov, Vennessa is an individual health care provider with primary practice located at 10209 Se Sunnyside Rd , Clackamas OR 97015-9782. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Petrov, Vennessa can be contacted via phone (800) 813-2000.Contact Information
Primary practice address
10209 Se Sunnyside Rd
Clackamas OR 97015-9782
Phone: (800) 813-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | Oregon |
Profile Details
| NPI number | 1316653132 |
|---|---|
| LBN Legal business name | Petrov, Vennessa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2023 |
| Last updated | Jan 25th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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