Mathew Petersen DDS PC
NPI #1457886913 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1457886913
- Entity Type
- Organization
- Organization Name
- Mathew Petersen DDS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 21, 2017
- Last Updated
- Apr 21, 2017
Practice Location
- Address
- 2001 E. LOHMAN AVE. SUITE 121
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88001
- Phone
- (575) 527-4746
Authorized Official
- Name
- MATHEW PETERSEN, DDS
- Title
- CEO, PRINCIPAL
- Phone
- (480) 233-6944
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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