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Organization
BRIAN R. PETERSON, D.D.S., PC
Active
Organization
BRIAN R. PETERSON, D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ROBERT PETERSON D.D.S. (PRESIDENT)
(480) 325-3368
Entity
Organization
Contact information
Practice address
6812 E BROWN RD, SUITE 101, MESA, AZ 85207-3757
(480) 325-3368
(480) 325-0718
Mailing address
6812 E BROWN RD, SUITE 101, MESA, AZ 85207-3757
(480) 325-3368
(480) 325-0718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5014
AZ
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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