David Peterson, DDS

NPI #1215410584 in Dixon, Illinois

Provider Information

NPI Number
1215410584
Entity Type
Individual
Name
David Peterson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS
Enumeration Date
Sep 12, 2018
Last Updated
Sep 12, 2018

Practice Location

Address
1619 BRANDYWINE LN
City
Dixon
ZIP Code
61021-8757
Phone
(815) 622-4740

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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