Individual
DR. CHRISTOPHER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4076 3RD AVE, SUITE 201, SAN DIEGO, CA 92103-2129
(619) 298-2322
Mailing address
4076 3RD AVE, SUITE 201, SAN DIEGO, CA 92103-2129
(619) 298-2322
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6056
AL
Other
Enumeration date
11/06/2013
Last updated
09/22/2016
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