| Dennis A Petersen D.o. Inc | |
|
27403 Ynez Rd Suite 103 Temecula CA 92591-5603 | |
| (951) 506-3112 | |
| (951) 506-3116 |
| Full Name | Dennis A Petersen D.o. Inc |
|---|---|
| Speciality | General Practice |
| Location | 27403 Ynez Rd, Temecula, California |
| Authorized Official Name and Position | Dennis Alan Petersen (DOCTOR) |
| Authorized Official Contact | 9515063112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis A Petersen D.o. Inc 27403 Ynez Rd Suite 103 Temecula CA 92591 Ph: (951) 506-3112 | Dennis A Petersen D.o. Inc 27403 Ynez Rd Suite 103 Temecula CA 92591-5603 Ph: (951) 506-3112 |
| NPI Number | 1326265083 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326265083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 20A4978 (California) | Primary |
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