Organization
GENEVA FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KENNETH PETERSON DMD (PRESIDENT)
(847) 624-6700
Entity
Organization
Contact information
Practice address
2932 FINLEY RD, DOWNERS GROVE, IL 60515-1042
(847) 624-6700
Mailing address
1644 BARKEI DR, BATAVIA, IL 60510-8304
(847) 624-6700
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
12/06/2019
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