# BRETON FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497217426
- **Authorized official:** DR. JESSICA BRERETON PETERKIN DMD (CEO/PRESIDENT)
- **Authorized official phone:** (623) 295-9720

## Contact information

- **Practice address:** 59 E LEXINGTON AVE, PHOENIX, AZ 85012-2320
- **Practice address phone:** (623) 295-9720
- **Mailing address:** PO BOX 2372, LITCHFIELD PARK, AZ 85340-2372
- **Mailing address phone:** (623) 295-9720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/01/2019
- **Last updated:** 04/01/2019