Peterson Dental Care LLC

NPI #1316430952 in Springfield, Illinois

Provider Information

NPI Number
1316430952
Entity Type
Organization
Organization Name
Peterson Dental Care LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 8, 2018
Last Updated
Apr 16, 2025

Practice Location

Address
2501 W ILES AVE STE A
ZIP Code
62704-6482
Phone
(217) 787-4015

Authorized Official

Name
JAMES PETERSON, DDS
Title
OWNER
Phone
(630) 780-9964

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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