Organization
DAVID PETERSON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PETERSON D.D.S. (OWNER)
16618344111
Entity
Organization
Contact information
Practice address
4124 ARDMORE AVE, BAKERSFIELD, CA 93309-4982
(661) 834-4111
(661) 834-0927
Mailing address
4124 ARDMORE AVE, BAKERSFIELD, CA 93309-4982
(661) 834-4111
(661) 834-0927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52770
CA
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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