DR. Mark A Peterson, D.M.D.

NPI #1073608170 in Sebastian, Florida

Provider Information

NPI Number: 1073608170
Entity Type: Individual
Name: DR. Mark A Peterson, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Oct 4, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 7740 BAY ST
Address 2: SUITE # 1
City: Sebastian
State: Florida
ZIP Code: 32958-3427
Phone: (772) 388-3119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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