Individual
DR. GARY S PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
123 S STONE AVE, TUCSON, AZ 85701-1914
(520) 798-3384
(520) 791-9311
Mailing address
7241 E ROCKY RIDGE DR, TUCSON, AZ 85750-6034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4638
AZ
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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