Organization
PETERSON DENTAL GROUP, PC
Active
Other names
Gentle Dental Sparks
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY R PETERSON DDS (PC OWNER/PRESIDENT)
(360) 869-7645
Entity
Organization
Contact information
Practice address
2399 WINGFIELD HILLS RD, STE 130, SPARKS, NV 89436-7207
(775) 473-6031
(775) 354-1507
Mailing address
PO BOX 872710, VANCOUVER, WA 98687-2710
(360) 869-7645
(877) 725-7443
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
08/22/2025
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