Organization
PETERSON DENTAL GROUP, PC
Active
Other names
Gentle Dental South Maryland
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY R PETERSON DDS (PC OWNER)
(360) 869-7645
Entity
Organization
Contact information
Practice address
8880 S MARYLAND PKWY STE 100, LAS VEGAS, NV 89123-6718
(702) 270-8790
Mailing address
PO BOX 872710, VANCOUVER, WA 98687-2710
(360) 869-7645
(877) 725-7443
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
08/22/2025
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