DR. Isaac Peterson, DDS

NPI #1619534542 in Moore, Oklahoma

Provider Information

NPI Number: 1619534542
Entity Type: Individual
Name: DR. Isaac Peterson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 27, 2019
Last Updated: May 27, 2019

Practice Location

Address: 1413 MEADOW RUN DR
City: Moore
State: Oklahoma
ZIP Code: 73160-0813
Phone: (801) 634-1966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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