Individual provider · Type 1 NPI

Ly Ngoc Petrie, DDS

Dentist · San Bernardino, CA

NPI number 1720340896 Active

Practice location

665 N D St
San Bernardino, CA 92401-1109

Mailing address

11201 Benton St
Loma Linda, CA 92357-1000

Other practice locations

  • 1070 E Ramsey St, Banning, CA 92220-5924 · (951) 846-2560

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X63273 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1720340896

Ly Ngoc Petrie, DDS's National Provider Identifier is 1720340896, issued on Jun 13, 2012. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Bernardino, CA. The record was last updated on Dec 11, 2020.