# FACIAL DIMENSIONS, P.C.

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

## Provider details

- **NPI number:** 1760626857
- **Authorized official:** G A. PETERSON D.D.S., M.D. (PRESIDENT)
- **Authorized official phone:** (308) 384-1172

## Contact information

- **Practice address:** 710 W KOENIG ST, GRAND ISLAND, NE 68801-6556
- **Practice address phone:** (308) 384-1172
- **Mailing address:** 710 W KOENIG ST, GRAND ISLAND, NE 68801-6556
- **Mailing address phone:** (308) 384-1172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 4372 | NE | Yes |

## Other

- **Enumeration date:** 04/21/2009
- **Last updated:** 04/21/2009