Individual
JOHN FREDERICK PETERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
301 N CENTRAL AVE, SHOW LOW, AZ 85901-4712
(928) 537-4244
Mailing address
PO BOX 2167, SHOW LOW, AZ 85902-2167
(928) 537-4244
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1654
AZ
Other
Enumeration date
08/30/2005
Last updated
07/08/2007
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