Peterson Dental Group, Pc | |
525 E Moana Ln Ste A Reno NV 89502-4671 | |
(775) 823-5100 | |
(775) 823-5101 |
Full Name | Peterson Dental Group, Pc |
---|---|
Speciality | Dentist |
Location | 525 E Moana Ln, Reno, Nevada |
Authorized Official Name and Position | Bradley R Peterson (PC OWNER/PRESIDENT) |
Authorized Official Contact | 3608697645 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peterson Dental Group, Pc 1101 Se Tech Center Dr Ste 195 Vancouver WA 98683-5511 Ph: (360) 869-7645 | Peterson Dental Group, Pc 525 E Moana Ln Ste A Reno NV 89502-4671 Ph: (775) 823-5100 |
NPI Number | 1417164765 |
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Provider Enumeration Date | 05/17/2007 |
Last Update Date | 02/07/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417164765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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