Individual
CONOR PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
66 MORRISVILLE PLZ STE 2, MORRISVILLE, VT 05661
(802) 888-7585
(802) 851-8313
Mailing address
44 GRANGER PL, BUFFALO, NY 14222-1228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016.0133866
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2017
Last updated
07/20/2018
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