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1912984352
SUSAN PETERSEN
SANTA ROSA, CA
NPI
1912984352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 35667)
Enumeration Date
2005-12-28
Last Update Date
2007-07-08
Business Address
Dr. SUSAN PETERSEN DMD
2448 GUERNEVILLE RD STE 200
SANTA ROSA, CA 95403-4175
Phone number: 707-579-2808
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Mailing Address
Dr. SUSAN PETERSEN DMD
91 HOP RANCH RD
SANTA ROSA, CA 95403-7528
Phone number: 707-579-2737
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