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Search › California › Oral and Maxillofacial Surgery (Dentist)

Samuel Petersen, D.D.S

NPI 1780848119 · on the registry since 2008 · sole proprietor

Practice

Address
940 Sylva Ln Ste K1
Sonora, CA 95370
Phone
(209) 532-5578
Fax
(209) 532-6216
Organisation at this address
Arthur N Donaldson M D Inc
Arthur N Donaldson M D Inc
Frank E. Whitney, M.D., Inc.
Douglas O. Fleming, O.D., Inc.
Arthur N. Donaldson, M.D., Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-07-15

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