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Organization

GUS CHARLES PETRAS DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GUS CHARLES PETRAS DDS (DENTIST)
(530) 222-2473
Entity
Organization

Contact information

Practice address
400 HARTNELL AVENUE, REDDING, CA 96002-1848
(530) 222-2473
(530) 222-3718
Mailing address
400 HARTNELL AVENUE, REDDING, CA 96002-1848
(530) 222-2473
(530) 222-3718

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
22171
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22171
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B2217101
MEDICAL DENTICAL
CA
Enumeration date
11/30/2006
Last updated
09/11/2025
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