Individual
DOUGLAS DON PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2411 10TH AVE N, LAKE WORTH, FL 33461-3128
(561) 966-9557
(561) 966-5886
Mailing address
2411 10TH AVE N, LAKE WORTH, FL 33461-3128
(561) 966-9557
(561) 966-5886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9930
FL
1223G0001X
General Practice Dentistry
Primary
D15386
MN
Other
Enumeration date
04/24/2007
Last updated
09/26/2025
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