Organization
FRANKLIN E. PETERSON DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA GRACE DDS (DENTIST)
(631) 473-4400
Entity
Organization
Contact information
Practice address
111 N COUNTRY RD, PORT JEFFERSON, NY 11777-2605
(631) 473-4400
Mailing address
111 N COUNTRY RD, PORT JEFFERSON, NY 11777-2605
(631) 473-4400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053165
NY
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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