| Scott T Peterson | |
|
4216 S Mariposa Dr Gilbert AZ 85297-5224 | |
| (801) 710-2226 | |
| Not Available |
| Full Name | Scott T Peterson |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4216 S Mariposa Dr, Gilbert, Arizona |
| Authorized Official Name and Position | Scott T Peterson (ORTHODONTIST) |
| Authorized Official Contact | 8017102226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott T Peterson 25240 Lawton Ave Loma Linda CA 92354-3541 Ph: (801) 710-2226 | Scott T Peterson 4216 S Mariposa Dr Gilbert AZ 85297-5224 Ph: (801) 710-2226 |
| NPI Number | 1912452558 |
|---|---|
| Provider Enumeration Date | 08/24/2016 |
| Last Update Date | 08/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912452558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D009577 (Arizona) | Primary |
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