| Vanessa Peterson, Dds, Ms, Pc | |
|
10165 Foothill Blvd Ste 2 Rancho Cucamonga CA 91730-0341 | |
| (909) 774-0107 | |
| (909) 774-0107 |
| Full Name | Vanessa Peterson, Dds, Ms, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10165 Foothill Blvd Ste 2, Rancho Cucamonga, California |
| Authorized Official Name and Position | Vanessa Peterson (OWNER) |
| Authorized Official Contact | 9097740107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Peterson, Dds, Ms, Pc 10165 Foothill Blvd Ste 2 Rancho Cucamonga CA 91730-0341 Ph: (097) 740-1079 | Vanessa Peterson, Dds, Ms, Pc 10165 Foothill Blvd Ste 2 Rancho Cucamonga CA 91730-0341 Ph: (909) 774-0107 |
| NPI Number | 1912538810 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912538810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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