Organization · Type 2 NPI
Kirk J Petersen DMD Professional Corp.
Customized Equipment (DME) · Hemet, CA
NPI number
1750722930
Active
Practice location
3232 W Florida Ave
Hemet, CA 92545-3622
Fax (951) 929-7090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 35534 (CA) |
Customized Equipment (DME): Definition to come...
About NPI 1750722930
Kirk J Petersen DMD Professional Corp.'s National Provider Identifier is 1750722930, issued on Jul 16, 2013. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Hemet, CA. The record was last updated on Jul 16, 2013.