Andrew M Petersen, Dds, LLC

NPI #1114189883 in Phoenix, Arizona

Provider Information

NPI Number
1114189883
Entity Type
Organization
Organization Name
Andrew M Petersen, Dds, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 25, 2008
Last Updated
Jun 25, 2008

Practice Location

Address
4802 E RAY RD
Address 2
SUITE #19
State
Arizona
ZIP Code
85044-6405
Phone
(480) 893-7733

Authorized Official

Name
DR. ANDREW MARVIN PETERSEN, DDS
Title
OWNER
Phone
(480) 893-7733

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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