Organization
PETERSON FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN L PETERSON DDS (DENTIST)
(603) 742-6546
Entity
Organization
Contact information
Practice address
240 LOCUST ST, DOVER, NH 03820-4034
(603) 742-6546
(603) 742-7043
Mailing address
240 LOCUST ST, DOVER, NH 03820-4034
(603) 742-6546
(603) 742-7043
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1725
NH
Other
Enumeration date
11/20/2012
Last updated
12/29/2016
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