Organization
BRIAN R. PETERSON, D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ROBERT PETERSON D.D.S. (PRESIDENT)
(480) 325-3368
Entity
Organization
Contact information
Practice address
6812 E BROWN RD, SUITE 101, MESA, AZ 85207-3757
(480) 325-3368
(480) 325-0718
Mailing address
6812 E BROWN RD, SUITE 101, MESA, AZ 85207-3757
(480) 325-3368
(480) 325-0718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5014
AZ
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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