Individual
VANESSA NOEL BROWNE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
10165 FOOTHILL BLVD STE 2, RANCHO CUCAMONGA, CA 91730-0341
(909) 774-0107
(909) 774-0107
Mailing address
10165 FOOTHILL BLVD STE 2, RANCHO CUCAMONGA, CA 91730-0341
(909) 774-0107
(909) 774-0107
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
62924
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D10178
OR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE60505354
WA
Other
Enumeration date
07/16/2013
Last updated
11/13/2022
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