NPI | 1679604169 |
---|---|
Doing Business As | PETERSON CENTER FOR DENTISTRY |
Entity Type | Organization |
Authorized Contact | PAUL AARON PETERSON Owner/President 805-482-1558 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52913) |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-03-08 |
Last Update Date | 2013-08-13 |