Individual
DR. PETER MICHAEL LOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
707 PARNASSUS AVENUE, BOX 0762, SAN FRANCISCO, CA 94903-0762
(415) 476-1731
Mailing address
521 PARNASSUS AVE. C628, BOX 0650, SAN FRANCISCO, CA 94903-5004
(415) 502-7896
(415) 502-4990
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
SP198
CA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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