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1285726380
JON E PETERSON
SAN DIEGO, CA
NPI
1285726380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: CA 28790)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
-- JON E PETERSON DDS
4076 3RD AVE # SU.201
SAN DIEGO, CA 92103-2129
Phone number: 619-298-2322
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Mailing Address
-- JON E PETERSON DDS
4076 3RD AVE # SU.201
SAN DIEGO, CA 92103-2129
Phone number: 619-298-2322
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