Individual
DR. ERIC L PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
225 SCOTTWOOD AVE, ELMIRA HEIGHTS, NY 14903-1322
(607) 733-3616
(607) 733-1053
Mailing address
225 SCOTTWOOD AVE, ELMIRA HEIGHTS, NY 14903-1322
(607) 733-3616
(607) 733-1053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049002
NY
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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