Individual
DR. DONALD P PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, FAGD
Contact information
Practice address
11855 HOLLY LN, SUITE #103, WALDORF, MD 20601-3114
(301) 645-7585
(301) 843-3367
Mailing address
11855 HOLLY LN, SUITE #103, WALDORF, MD 20601-3114
(301) 645-7585
(301) 843-3367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9177
MD
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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