Peterson, Michael W

Peterson, Michael W is an individual health care provider with primary practice located at 1319 Tennessee St , Vallejo CA 94590. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Peterson, Michael W can be contacted via phone (707) 552-3160.

Contact Information

Primary practice address
1319 Tennessee St Vallejo CA 94590
Phone: (707) 552-3160
Fax: (707) 552-9532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X CA22912 California

Profile Details

NPI number 1134325145
LBN Legal business name Peterson, Michael W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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