David a Peto DDS, MSD a Professional Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

54564 Issued in CA

Legal business name

DAVID A PETO DDS, MSD A PROFESSIONAL DENTAL CORPORATION

Practice address

9342 Duxbury Rd
Los Angeles, CA 90034-1023

Phone

(310) 980-3822

NPI assigned

Aug 29, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Peto, DDS, MSD

Title

President

Phone

(310) 980-3822

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1841571387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9342 DUXBURY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900341023",
            "telephone_number": "310-980-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9342 DUXBURY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900341023",
            "telephone_number": "310-980-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A PETO DDS, MSD A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "PETO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-980-3822",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "54564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.