Petersen, Samuel George
Petersen, Samuel George is an sole proprietor health care provider with primary practice located at 940 Sylva Ln Ste K1 , Sonora CA 95370-5969. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Petersen, Samuel George can be contacted via phone (209) 532-5578.Contact Information
Primary practice address
940 Sylva Ln Ste K1
Sonora CA 95370-5969
Phone: (209) 532-5578
Fax: (209) 532-6216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 51511 | California |
Profile Details
| NPI number | 1780848119 |
|---|---|
| LBN Legal business name | Petersen, Samuel George |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2008 |
| Last updated | Jul 15th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Lawrence, Martha M.
1395 Center Dr # D7-6A Ufcd Oral And Maxillofacial Surgery, Box 100416, Gainesville FL 32610-0416 -
Tawadros, Atef Milad
116 W 3Rd St , Mishawaka IN 46544-2024 -
Radecki, Cass Anthony
203 W Michigan Ave , Saline MI 48176-1329 -
Sullivan, Steven M
1000 N Lincoln Blvd Ste 200, Oklahoma City OK 73104-3252 -
Bouchoucha, Slim
940 Sylva Ln Suite K1, Sonora CA 95370-5969 -
Lapp, Thomas H
10972 Allisonville Rd Suite 100, Fishers IN 46038-2637 -
Sitters, Michael Andrew
21301 Kuykendahl Rd Ste G , Spring TX 77379-2614 -
Erlichman, Michael C
703 Main Street St. Joseph'S Regional Medical Center, Paterson NJ 07503