JEFFREY IAN PETERSEN

SANTA ROSA, CA
NPI1669454211
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  36313)
Enumeration Date2005-11-18
Last Update Date2007-07-08
Business Address
Dr. JEFFREY IAN PETERSEN DMD
2448 GUERNEVILLE RD
SANTA ROSA, CA 95403-4175
Phone number: 707-579-2808
Mailing Address
Dr. JEFFREY IAN PETERSEN DMD
91 HOP RANCH RD
SANTA ROSA, CA 95403-7528
Phone number: 707-579-2737
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