DR. Peter J. M. Peterson, D.M.D.

NPI #1508959099 in Simsbury, Connecticut

Provider Information

NPI Number: 1508959099
Entity Type: Individual
Name: DR. Peter J. M. Peterson, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: D.M.D.
Enumeration Date: Oct 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 625 HOPMEADOW ST.
City: Simsbury
State: Connecticut
ZIP Code: 06070
Phone: (860) 658-5552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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