Bradley Redge Peterson, DDS

NPI #1811058365 in Mesquite, Nevada

Provider Information

NPI Number: 1811058365
Entity Type: Individual
Name: Bradley Redge Peterson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 61 N WILLOW ST
Address 2: SUITE 1
City: Mesquite
State: Nevada
ZIP Code: 89027-4785
Phone: (702) 346-2882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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