Pettersen, Eric A
Pettersen, Eric A is an individual health care provider with primary practice located at 25460 Medical Center Dr #200, Murrieta CA 92562-5985. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Pettersen, Eric A can be contacted via phone (951) 677-7322.Contact Information
Primary practice address
25460 Medical Center Dr #200
Murrieta CA 92562-5985
Phone: (951) 677-7322
Fax: (951) 677-1860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 033829 | California |
Profile Details
| NPI number | 1174660492 |
|---|---|
| LBN Legal business name | Pettersen, Eric A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 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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