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Organization
JOHN C. PETERSON D.D.S.
Active
Organization
JOHN C. PETERSON D.D.S.
Active
Parent organization
CRAIG B. PURSUIT D.D.S. INC.
Other names
Craig B. Pursuit D.D.S. Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRAIG B. PURSUIT D.D.S. INC.
Authorized official
DR. CRAIG B. PURSUIT D.D.S. (DENTIST)
(310) 670-2646
Entity
Organization
Contact information
Practice address
8729 LA TIJERA BLVD, LOS ANGELES, CA 90045-3906
(310) 670-2646
(310) 670-1618
Mailing address
8729 LA TIJERA BLVD, LOS ANGELES, CA 90045-3906
(310) 670-2646
(310) 670-1618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28789
CA
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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