Organization
PETERSEN DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN PETERSEN DMD (CO-OWNER/DMD)
(707) 477-6610
Entity
Organization
Contact information
Practice address
2448 GUERNEVILLE RD STE 200, SANTA ROSA, CA 95403-7223
(707) 579-2808
Mailing address
2577 GREENVALE LN, SANTA ROSA, CA 95401-4041
(707) 477-6610
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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