Individual
PETER STANTON JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1427 MISSION ST, SOUTH PASADENA, CA 91030-3213
(626) 403-1800
Mailing address
1427 MISSION ST, SOUTH PASADENA, CA 91030-3213
(626) 403-1800
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
22116
MA
1223P0221X
Pediatric Dentistry
Primary
58881
CA
Other
Enumeration date
05/18/2008
Last updated
12/04/2009
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