Tony Leroy Peterson, DDS

NPI #1053302075 in Colorado Springs, Colorado

Provider Information

NPI Number
1053302075
Entity Type
Individual
Name
Tony Leroy Peterson, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS
Enumeration Date
Oct 31, 2005
Last Updated
Jan 29, 2014

Practice Location

Address
1050 S 8TH ST
ZIP Code
80905-7307
Phone
(719) 633-8455

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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