Individual
DR. LANDON PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
624 N 129TH ST STE 100, OMAHA, NE 68154-6110
(402) 330-9564
Mailing address
624 N 129TH ST STE 100, OMAHA, NE 68154-6110
(023) 330-9564
(402) 330-9564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7474
NE
Other
Enumeration date
07/16/2018
Last updated
11/26/2024
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