DR. Kirk John Petersen, D.M.D.
NPI #1285638106 in Smith River, California
Provider Information
- NPI Number
- 1285638106
- Entity Type
- Individual
- Name
- DR. Kirk John Petersen, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.M.D.
- Enumeration Date
- Jun 9, 2005
- Last Updated
- Mar 3, 2018
Practice Location
- Address
- 501 N INDIAN RD
- City
- Smith River
- State
- California
- ZIP Code
- 95567-9509
- Phone
- (707) 487-0215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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