DR. Douglas A Peterson, DDS

NPI #1609083856 in Lincroft, New Jersey

Provider Information

NPI Number: 1609083856
Entity Type: Individual
Name: DR. Douglas A Peterson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 9 MIDDLETOWN LINCROFT RD
City: Lincroft
State: New Jersey
ZIP Code: 07738-1511
Phone: (732) 842-5005

Specialties & Taxonomy Codes

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

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