Individual
DR. ERIC PETTERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
522 W FINNIE FLATS RD, STE J, CAMP VERDE, AZ 86322-7265
(928) 567-5249
(928) 567-0430
Mailing address
PO BOX 788, CAMP VERDE, AZ 86322-0788
(928) 567-5249
(928) 567-0430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3089
AZ
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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