Individual
DR. TERRY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16620 N 40TH ST STE G3, PHOENIX, AZ 85032-3351
(602) 953-1850
Mailing address
16620 N 40TH ST STE G3, PHOENIX, AZ 85032-3351
(602) 953-1850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008234
AZ
Other
Enumeration date
06/28/2011
Last updated
04/12/2018
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