John T Peterson DDS PC

NPI #1437436664 in Kankakee, Illinois

Provider Information

NPI Number: 1437436664
Entity Type: Organization
Organization Name: John T Peterson DDS PC
Primary Specialty: Dentist
Enumeration Date: Nov 16, 2011
Last Updated: Nov 16, 2011

Practice Location

Address: 200 E COURT ST
Address 2: SUITE 504
City: Kankakee
State: Illinois
ZIP Code: 60901-3843
Phone: (815) 932-3613

Authorized Official

Name: JOHN T PETERSON, DDS
Title: DENTIST
Phone: (815) 932-3613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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