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1972712123
THEODORE ALAN PETERSON
LOS ALTOS, CA
NPI
1972712123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 21281)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Dr. THEODORE ALAN PETERSON D.D.S.
826 ALTOS OAKS DR SUITE 1
LOS ALTOS, CA 94024-5403
Phone number: 650-941-6557
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Mailing Address
Dr. THEODORE ALAN PETERSON D.D.S.
826 ALTOS OAKS DR SUITE 1
LOS ALTOS, CA 94024-5403
Phone number: 650-941-6557
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