Individual
DR. JONATHAN RYAN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D, M.S.
Contact information
Practice address
800 W CHANDLER BLVD STE 1, CHANDLER, AZ 85225-2508
(480) 899-6407
(480) 899-2644
Mailing address
800 W CHANDLER BLVD STE 1, CHANDLER, AZ 85225-2508
(480) 899-6407
(480) 899-2644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7899
AZ
Other
Enumeration date
08/30/2009
Last updated
01/17/2013
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