Marvin A Peterson, DMD PC

NPI #1841200946 in Portland, Oregon

Provider Information

NPI Number
1841200946
Entity Type
Individual
Name
Marvin A Peterson, DMD PC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD PC
Enumeration Date
Aug 9, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
511 SW 10TH AVE
Address 2
SUITE #707
State
Oregon
ZIP Code
97205-2732
Phone
(503) 223-4411

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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