DR. Brian Jon Petersburg, D.D.S.

NPI #1083734958 in Brighton, Michigan

Provider Information

NPI Number: 1083734958
Entity Type: Individual
Name: DR. Brian Jon Petersburg, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Apr 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 8641 W GRAND RIVER AVE
Address 2: SUITE 6
City: Brighton
State: Michigan
ZIP Code: 48116-4353
Phone: (810) 227-4224

Specialties & Taxonomy Codes

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

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