AUDREY PETERSON, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1194050617
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 58443 (CA) |
Frequently Asked Questions
NPI 1194050617 is the National Provider Identifier for AUDREY PETERSON, D.D.S., a Dentist - General Practice provider located in Oakland, CA. This NPI was enumerated on October 16, 2009.
AUDREY PETERSON, D.D.S. practices at 5277 COLLEGE AVE STE 203, Oakland, CA 94618.
Quick Facts
- NPI
- 1194050617
- Type
- Individual
- Enumerated
- Oct 16, 2009
- Last Updated
- Oct 16, 2009
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