AYLEEN R. PETERSON DDS INC. NPI 1225509268

NPI Information

AYLEEN R. PETERSON DDS, INC. is an oral and maxillofacial surgery dentist in Sherman Oaks, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. AYLEEN R. PETERSON DDS, INC. NPI is 1225509268. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4221 SUNNYSLOPE AVE
SHERMAN OAKS, CA
ZIP 91423-803
Phone: (310) 710-7854

The provider's authorized official is Ayleen Peterson .
The authorized official title is President and has the following contact phone number (310) 710-7854.

The enumeration date for this NPI number is 12/17/2018 and was last updated on 12/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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