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1134325145
MICHAEL W PETERSON
VALLEJO, CA
NPI
1134325145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA CA22912)
Enumeration Date
2007-06-26
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL W PETERSON DDS
1319 TENNESSEE ST
VALLEJO, CA 94590
Phone number: 707-552-3160
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Mailing Address
Dr. MICHAEL W PETERSON DDS
1319 TENNESSEE ST
VALLEJO, CA 94590
Phone number: 707-552-3160
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