Individual
DR. DANIEL ARTHUR PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3350 ALTAMONT RD S APT B12, BIRMINGHAM, AL 35205-2192
(256) 970-5917
Mailing address
3350 ALTAMONT RD S APT B12, BIRMINGHAM, AL 35205-2192
(256) 970-5917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39
AL
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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