Individual
DR. WARREN RICHARD PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4232 E CACTUS RD, SUITE 109, PHOENIX, AZ 85032-7602
(602) 953-1850
(602) 953-1613
Mailing address
4232 E CACTUS RD, SUITE 109, PHOENIX, AZ 85032-7602
(602) 953-1850
(602) 953-1613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AZ2587
AZ
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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