Organization
JUST 4 ME PEDIATRIC DENTISTRY
Active
Other names
Marti Peterson DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MARTI PETERSON DDS (OWNER)
(716) 688-7721
Entity
Organization
Contact information
Practice address
1660 HOPKINS RD, SUITE 107, GETZVILLE, NY 14068-1061
(716) 688-7721
Mailing address
1660 HOPKINS RD, SUITE 107, GETZVILLE, NY 14068-1061
(716) 688-7721
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
049620
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02411989
—
NY
Enumeration date
03/15/2011
Last updated
03/15/2011
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