Individual
DR. ROBERT MICHAEL PETERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S
Contact information
Practice address
747 W. DEVON, PARK RIDGE, IL 60068
(847) 698-2200
(847) 698-6564
Mailing address
747 W. DEVON, PARK RIDGE, IL 60068
(847) 698-2200
(847) 698-6564
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021001675
IL
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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