| Brian R. Peterson, D.d.s., Pc | |
|
6812 E Brown Rd Suite 101 Mesa AZ 85207-3757 | |
| (480) 325-3368 | |
| (480) 325-0718 |
| Full Name | Brian R. Peterson, D.d.s., Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6812 E Brown Rd, Mesa, Arizona |
| Authorized Official Name and Position | Brian Robert Peterson (PRESIDENT) |
| Authorized Official Contact | 4803253368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian R. Peterson, D.d.s., Pc 6812 E Brown Rd Suite 101 Mesa AZ 85207-3757 Ph: (480) 325-3368 | Brian R. Peterson, D.d.s., Pc 6812 E Brown Rd Suite 101 Mesa AZ 85207-3757 Ph: (480) 325-3368 |
| NPI Number | 1568635894 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568635894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5014 (Arizona) | Primary |
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