| Gus Charles Petras Dds | |
|
400 Hartnell Avenue Redding CA 96002-1848 | |
| (530) 222-2473 | |
| (530) 222-3718 |
| Full Name | Gus Charles Petras Dds |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 400 Hartnell Avenue, Redding, California |
| Authorized Official Name and Position | Gus Charles Petras (DENTIST) |
| Authorized Official Contact | 5302222473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gus Charles Petras Dds 400 Hartnell Avenue Redding CA 96002-1848 Ph: (530) 222-2473 | Gus Charles Petras Dds 400 Hartnell Avenue Redding CA 96002-1848 Ph: (530) 222-2473 |
| NPI Number | 1790853653 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790853653 | NPI | - | NPPES |
| B2217101 | Other | CA | MEDICAL DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22171 (California) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22171 (California) | Primary |
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