DR. Michael W Peterson, DDS
NPI #1134325145 in Vallejo, California
Provider Information
- NPI Number
- 1134325145
- Entity Type
- Individual
- Name
- DR. Michael W Peterson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1319 TENNESSEE ST
- City
- Vallejo
- State
- California
- ZIP Code
- 94590
- Phone
- (707) 552-3160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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