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
ZIP Code
95567-9509
Phone
(707) 487-0215

Specialties & Taxonomy Codes

Specialty
Dentist

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