Andrew Peterson Dmd Ms PC

NPI #1912567058 in Alta Loma, California

Provider Information

NPI Number: 1912567058
Entity Type: Organization
Organization Name: Andrew Peterson Dmd Ms PC
Primary Specialty: Dentist - Periodontics
Enumeration Date: Jun 20, 2019
Last Updated: Jun 20, 2019

Practice Location

Address: 9856 HIBISCUS CT
City: Alta Loma
State: California
ZIP Code: 91737-3637
Phone: (406) 861-8844

Authorized Official

Name: DR. ANDREW GREGORY PETERSON, DMD, MS
Title: PRESIDENT
Phone: (406) 861-8844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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