Peterson Dental, LLC

NPI #1811366198 in Leeds, Alabama

Provider Information

NPI Number: 1811366198
Entity Type: Organization
Organization Name: Peterson Dental, LLC
Primary Specialty: Dentist
Enumeration Date: Sep 17, 2015
Last Updated: Sep 17, 2015

Practice Location

Address: 1101 HIGROVE PKWY
Address 2: SUITE 105
City: Leeds
State: Alabama
ZIP Code: 35094-1703
Phone: (205) 699-1155

Authorized Official

Name: NICOLE PETERSON
Title: CFO
Phone: (205) 699-1155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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