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Organization
PAUL A PETERSON DDS INC
Active
Organization
PAUL A PETERSON DDS INC
Active
Other names
Peterson Center For Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL AARON PETERSON DDS (OWNER/PRESIDENT)
(805) 482-1558
Entity
Organization
Contact information
Practice address
400 W VENTURA BLVD #165, CAMARILLO, CA 93010
(805) 482-1558
(805) 484-8240
Mailing address
400 W VENTURA BLVD #165, CAMARILLO, CA 93010
(805) 482-1558
(805) 484-8240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52913
CA
1223G0001X
General Practice Dentistry
—
CA
Other
Enumeration date
03/08/2007
Last updated
08/13/2013
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