Individual
ABIGAIL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2821 ISLAND AVENUE, SUITE 210, PHILADELPHIA, PA 19153-2300
(215) 492-9291
(215) 492-5856
Mailing address
2821 ISLAND AVENUE, SUITE 210, PHILADELPHIA, PA 19153-2300
(215) 492-9291
(215) 492-5856
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035558
PA
Other
Enumeration date
03/04/2008
Last updated
06/05/2012
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