Individual
DR. JESSICA BRERETON PETERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MA
Contact information
Practice address
13856 W WADDELL RD STE 102, SURPRISE, AZ 85379-3801
(623) 544-8353
Mailing address
13856 W WADDELL RD STE 102, SURPRISE, AZ 85379-3801
(623) 544-8353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009331
AZ
Other
Enumeration date
08/06/2015
Last updated
08/22/2015
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