# GENEVA FAMILY DENTISTRY, P.C.

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

## Provider details

- **NPI number:** 1609382902
- **Authorized official:** DR. ROBERT KENNETH PETERSON DMD (PRESIDENT)
- **Authorized official phone:** (847) 624-6700

## Contact information

- **Practice address:** 2932 FINLEY RD, DOWNERS GROVE, IL 60515-1042
- **Practice address phone:** (847) 624-6700
- **Mailing address:** 1644 BARKEI DR, BATAVIA, IL 60510-8304
- **Mailing address phone:** (847) 624-6700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/21/2017
- **Last updated:** 12/06/2019