Organization
DAVID A PETO DDS, MSD A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PETO DDS, MSD (PRESIDENT)
(310) 980-3822
Entity
Organization
Contact information
Practice address
9342 DUXBURY RD, LOS ANGELES, CA 90034-1023
(310) 980-3822
Mailing address
9342 DUXBURY RD, LOS ANGELES, CA 90034-1023
(310) 980-3822
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
54564
CA
Other
Enumeration date
08/29/2011
Last updated
01/18/2017
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