Stacy Peterson

NPI #1093444804 in Erie, Colorado

Provider Information

NPI Number
1093444804
Entity Type
Individual
Name
Stacy Peterson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Jun 7, 2022
Last Updated
Aug 31, 2022

Practice Location

Address
1927 COLORADO STATE HWY 7
Address 2
SUITE 101
City
Erie
ZIP Code
80516
Phone
(720) 874-9039

Specialties & Taxonomy Codes

Specialty
Dentist

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