Gwendolyn Peterson

NPI #1114149945 in Flower Mound, Texas

Provider Information

NPI Number
1114149945
Entity Type
Individual
Name
Gwendolyn Peterson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Hygienist
Enumeration Date
May 2, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1900 LONG PRAIRIE RD
Address 2
STE 132
State
Texas
ZIP Code
75022-4217
Phone
(972) 874-7870

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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