Individual
MR. DENNIS ROY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5420 PARK DR, ROCKLIN, CA 95765
(916) 435-5230
(916) 435-0770
Mailing address
5420 PARK DR, ROCKLIN, CA 95765
(916) 435-5230
(916) 435-0770
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
25358
CA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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