| Peterson Dentistry Dds Inc | |
|
503 E Imperial Hwy Brea CA 92821-5544 | |
| (714) 672-9000 | |
| (714) 672-9086 |
| Full Name | Peterson Dentistry Dds Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 503 E Imperial Hwy, Brea, California |
| Authorized Official Name and Position | Gregory Peterson (OWNER) |
| Authorized Official Contact | 7146729000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peterson Dentistry Dds Inc 503 E Imperial Hwy Brea CA 92821-5544 Ph: (714) 672-9000 | Peterson Dentistry Dds Inc 503 E Imperial Hwy Brea CA 92821-5544 Ph: (714) 672-9000 |
| NPI Number | 1639661341 |
|---|---|
| Provider Enumeration Date | 05/30/2018 |
| Last Update Date | 05/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639661341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 57102 (California) | Primary |
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