Individual
DR. AIDA N. PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.,M.S.
Contact information
Practice address
16801 NEWBURGH RD, SUITE 105, LIVONIA, MI 48154-1606
(734) 953-6660
(734) 953-1093
Mailing address
16801 NEWBURGH RD, SUITE 105, LIVONIA, MI 48154-1606
(734) 953-6660
(734) 953-1093
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
13799
MI
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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