Individual
MS. MARTI PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1660 HOPKINS RD, GETZVILLE, NY 14068-1061
(716) 688-7721
(716) 688-7730
Mailing address
9252 EMERALD LN, CLARENCE CENTER, NY 14032-9519
(716) 688-7721
(716) 688-7730
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
049620
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02411989
—
NY
Enumeration date
12/11/2006
Last updated
10/17/2012
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