DANIEL PETERSEN DDS, INC.
Medical Practice at Knollcrest Dr, Redding, CA

License number
California 57031
Category
Medical Practice
Type
Oral & Maxillofacial Surgery
Owner
Name: DANIEL W PETERSEN DDS
Title: OWNER
Phone: (530) 223-1811
Address
Address
316 Knollcrest Dr, Redding, CA 96002
National Provider ID: 1649677915
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DANIEL PETERSEN, D.D.S., INC

Redding, CA

Doing business as:
Daniel Petersen Inc<br>Daniel Petersen Inc - Daniel W Petersen DDS
Registration:
Jun 26, 2008
Phone:
(530) 223-1811 (Phone)
Addresses:
316 Knollcrest Dr, Redding, CA 96002 (Physical)
2315 Bechelli Ln, Redding, CA 96002
State ID:
C3151232
Business type:
Articles of Incorporation
President:
Daniel W. Petersen (President)
Agent:
Carr, Kennedy, Peterson & Frost, A Law Corporation,Cottonwood, CA 96022 (Physical)

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