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Organization
AYLEEN R. PETERSON DDS, INC.
Active
Organization
AYLEEN R. PETERSON DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYLEEN PETERSON DDS (PRESIDENT)
(310) 710-7854
Entity
Organization
Contact information
Practice address
4221 SUNNYSLOPE AVE, SHERMAN OAKS, CA 91423-3803
(310) 710-7854
Mailing address
4221 SUNNYSLOPE AVE, SHERMAN OAKS, CA 91423-3803
(310) 710-7854
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/12/2019
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