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Organization

JAMES S. PETERSON, DDS, PA

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Organization

JAMES S. PETERSON, DDS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES S PETERSON DDS (PRESIDENT)
(972) 462-1600
Entity
Organization

Contact information

Practice address
598 S DENTON TAP RD STE 103, COPPELL, TX 75019-4004
(972) 462-1600
Mailing address
598 S DENTON TAP RD STE 103, COPPELL, TX 75019-4004
(972) 462-1600

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20530
TX

Other

Enumeration date
05/06/2008
Last updated
05/06/2008
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