IAN PETERSEN

SANTA ROSA, CA
NPI1225569916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  101238)
Enumeration Date2017-03-23
Last Update Date2017-03-25
Business Address
Dr. IAN PETERSEN D.M.D.
2448 GUERNEVILLE RD SUITE 200
SANTA ROSA, CA 95403-4175
Phone number: 707-579-2808
Mailing Address
Dr. IAN PETERSEN D.M.D.
2577 GREENVALE LN
SANTA ROSA, CA 95401-4041
Phone number: 707-477-6612
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