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
ZIP Code
88001-3167
Phone
(575) 527-4746

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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