| Daniel Petersen, Dds, Inc. | |
|
2315 Bechelli Ln Suite A Redding CA 96002-0119 | |
| (530) 223-1811 | |
| (530) 223-1813 |
| Full Name | Daniel Petersen, Dds, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2315 Bechelli Ln, Redding, California |
| Authorized Official Name and Position | Daniel Petersen (PRESIDENT) |
| Authorized Official Contact | 5302231811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Petersen, Dds, Inc. 2315 Bechelli Ln Suite A Redding CA 96002-0119 Ph: (530) 223-1811 | Daniel Petersen, Dds, Inc. 2315 Bechelli Ln Suite A Redding CA 96002-0119 Ph: (530) 223-1811 |
| NPI Number | 1225274442 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 12/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225274442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 57031 (California) | Primary |
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