Individual
DR. ALAN MARK PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6755 E SUPERSTITION SPRINGS BLVD STE 201, MESA, AZ 85206-4374
(480) 924-2880
Mailing address
6755 E SUPERSTITION SPRINGS BLVD STE 201, MESA, AZ 85206-4374
(480) 924-2880
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D7436
AZ
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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