Geoff Peterson

NPI #1285076364 in Lees Summit, Missouri

Provider Information

NPI Number: 1285076364
Entity Type: Individual
Name: Geoff Peterson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 18, 2013
Last Updated: Jul 18, 2013

Practice Location

Address: 3751 SW HOLLYWOOD DR
City: Lees Summit
State: Missouri
ZIP Code: 64082-7830
Phone: (816) 623-3563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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