Organization
DENNIS A PETERSEN D.O. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS ALAN PETERSEN D.O. (DOCTOR)
(951) 506-3112
Entity
Organization
Contact information
Practice address
27403 YNEZ RD, SUITE 103, TEMECULA, CA 92591-5603
(951) 506-3112
(951) 506-3116
Mailing address
27403 YNEZ RD, SUITE 103, TEMECULA, CA 92591
(951) 506-3112
(951) 506-3116
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A4978
CA
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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