Individual
SCOTT E. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1809 E PAVILION PL, SUITE A, MONTROSE, CO 81401-5798
(970) 249-4917
Mailing address
1809 E PAVILION PL, SUITE A, MONTROSE, CO 81401-5798
(970) 249-4917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6943
CO
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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