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Individual

DR. COURTNEY PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-1736
Mailing address
908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
058555
NY
1223P0221X
Pediatric Dentistry
Primary
058555
NY

Other

Enumeration date
05/11/2015
Last updated
07/09/2019
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