Individual
WILLIAM HAROLD PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
225 S MERAMEC AVE, STE 923T, CLAYTON, MO 63105-3511
(314) 727-4131
(314) 725-4002
Mailing address
225 S MERAMEC AVE, STE 923T, CLAYTON, MO 63105-3511
(314) 727-4131
(314) 725-4002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012147
MO
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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