| Andrew Peterson Dmd Ms Pc | |
|
9856 Hibiscus Ct Alta Loma CA 91737-3637 | |
| (406) 861-8844 | |
| Not Available |
| Full Name | Andrew Peterson Dmd Ms Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 9856 Hibiscus Ct, Alta Loma, California |
| Authorized Official Name and Position | Andrew Gregory Peterson (PRESIDENT) |
| Authorized Official Contact | 4068618844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Peterson Dmd Ms Pc 9856 Hibiscus Ct Alta Loma CA 91737-3637 Ph: (406) 861-8844 | Andrew Peterson Dmd Ms Pc 9856 Hibiscus Ct Alta Loma CA 91737-3637 Ph: (406) 861-8844 |
| NPI Number | 1912567058 |
|---|---|
| Provider Enumeration Date | 06/20/2019 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912567058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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