DR. Mathew C Petersen, DDS
NPI #1215249917 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1215249917
- Entity Type
- Individual
- Name
- DR. Mathew C Petersen, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 9, 2010
- Last Updated
- Sep 2, 2011
Practice Location
- Address
- 2001 E LOHMAN AVE
- Address 2
- STE 121
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88001-3167
- Phone
- (575) 527-4746
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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