Individual
DR. SAMUEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1830 E INNOVATION PARK DR, ORO VALLEY, AZ 85755
(520) 297-2514
Mailing address
1830 E INNOVATION PARK DR, ORO VALLEY, AZ 85755-1963
(520) 297-2514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008896
AZ
Other
Enumeration date
03/26/2014
Last updated
07/17/2018
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