Gary John Peterson, D.D.S.

NPI #1538289467 in Antigo, Wisconsin

Provider Information

NPI Number: 1538289467
Entity Type: Individual
Name: Gary John Peterson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Apr 2, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 2010 PROGRESS BLVD
City: Antigo
State: Wisconsin
ZIP Code: 54409-2475
Phone: (715) 623-7221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Raymond J Portman, DDS	Dentist - General Practice	Antigo	AI Deep Dive
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DR. Stanley Ernest Brown, D.D.S.	Dentist - General Practice	Antigo	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Antigo Dental Clinic L.l.c.	Dentist - General Practice	Antigo	AI Deep Dive

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