Individual
DR. DARRELL J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12350 INDUSTRY WAY STE 210, ANCHORAGE, AK 99515-4301
(907) 345-7722
(907) 345-6734
Mailing address
12350 INDUSTRY WAY STE 210, ANCHORAGE, AK 99515-4301
(907) 345-7722
(907) 345-6734
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AA608
AK
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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