Organization
KIRK J PETERSEN DMD PROFESSIONAL CORP.
Active
Other names
Hemet West Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK J PETERSEN DMD (PRESIDENT)
(951) 652-4464
Entity
Organization
Contact information
Practice address
3232 W FLORIDA AVE, HEMET, CA 92545-3622
(951) 652-4464
(951) 929-7090
Mailing address
3232 W FLORIDA AVE, HEMET, CA 92545-3622
(951) 652-4464
(951) 929-7090
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
35534
CA
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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