Search › California › 152W00000X
Richard Petersen, OD
NPI 1407867161 · on the registry since 2006
Practice
- Address
- 1745 W Avenue K
Suite A
Lancaster, CA 93534 - Phone
- (661) 942-8437
- Fax
- (661) 940-1959
- Organisation at this address
- Southwest Dental Center Inc.
Lancaster Advanced Dental Inc.
Antelope Valley Optometric Center, Inc.
Dr. Yury B. Geylikman, A Professional Dental CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-12-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California