Trevor Peterson, DMD

NPI #1275913329 in Medford, Oregon

Provider Information

NPI Number: 1275913329
Entity Type: Individual
Name: Trevor Peterson, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 4, 2015
Last Updated: Jun 4, 2015

Practice Location

Address: 4411 BROWNRIDGE TERRACE
City: Medford
State: Oregon
ZIP Code: 97504
Phone: (541) 200-6747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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