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Individual

DR. ANDREW GREGORY PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
460 CHAMPLAIN DR, CLAREMONT, CA 91711-2753
(406) 861-8844
Mailing address
460 CHAMPLAIN DR, CLAREMONT, CA 91711-2753
(406) 861-8844

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
103423
CA
1223P0300X
Periodontics
D9905
OR

Other

Enumeration date
07/16/2013
Last updated
12/20/2020
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