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Organization
ANDREW PETERSON DMD MS PC
Active
Organization
ANDREW PETERSON DMD MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW GREGORY PETERSON DMD, MS (PRESIDENT)
(406) 861-8844
Entity
Organization
Contact information
Practice address
9856 HIBISCUS CT, ALTA LOMA, CA 91737-3637
(406) 861-8844
Mailing address
9856 HIBISCUS CT, ALTA LOMA, CA 91737-3637
(406) 861-8844
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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