Organization
KENNETH H PETERSON DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH HAROLD PETERSON DDS (ORTHODONTIST)
(630) 357-4060
Entity
Organization
Contact information
Practice address
114 N WASHINGTON ST, NAPERVILLE, IL 60540
(630) 357-4060
(630) 355-4182
Mailing address
114 N WASHINGTON ST, NAPERVILLE, IL 60540
(630) 357-4060
(630) 355-4182
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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