Individual
DR. GEORGIA MARIE PETERSON-HOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
20470 N LAKE PLEASANT RD STE 110, PEORIA, AZ 85382-9708
(602) 992-1486
Mailing address
20470 N LAKE PLEASANT RD # 1100, PEORIA, AZ 85382-9708
(602) 992-1486
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D011725
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D011725
AZ
1223X2210X
Orofacial Pain Dentistry
D001725
AZ
Other
Enumeration date
11/02/2006
Last updated
03/03/2026
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