Individual
DR. GUS CHARLES PETRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
400 HARTNELL AVE, REDDING, CA 96002-1848
(530) 222-2473
(530) 222-3718
Mailing address
400 HARTNELL AVE, REDDING, CA 96002-1848
(530) 222-2473
(530) 222-3718
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22171
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22171
CA
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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