Organization
DR NEIL E PETERSON & ASSOC
Active
Other names
Westgate Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL EDWARD PETERSON (OWNER)
(414) 445-6600
Entity
Organization
Contact information
Practice address
5019 W NORTH AVENUE, MILWAUKEE, WI 53208-1121
(414) 445-6600
(414) 445-6618
Mailing address
5019 W NORTH AVENUE, MILWAUKEE, WI 53208-1121
(414) 445-6600
(414) 445-6618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5000681
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38375200
—
WI
Enumeration date
06/15/2007
Last updated
08/22/2020
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