SAMUEL GEORGE PETERSEN

SONORA, CA
NPI1780848119
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA  51511)
Enumeration Date2008-07-15
Last Update Date2008-07-15
Business Address
Dr. SAMUEL GEORGE PETERSEN D.D.S.
940 SYLVA LN STE K1
SONORA, CA 95370-5969
Phone number: 209-532-5578
Mailing Address
Dr. SAMUEL GEORGE PETERSEN D.D.S.
940 SYLVA LN STE K1
SONORA, CA 95370-5969
Phone number: 209-532-5578
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