| Kenneth H Peterson Dds Ltd | |
|
114 N Washington St Naperville IL 60540 | |
| (630) 357-4060 | |
| (630) 355-4182 |
| Full Name | Kenneth H Peterson Dds Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 114 N Washington St, Naperville, Illinois |
| Authorized Official Name and Position | Kenneth Harold Peterson (ORTHODONTIST) |
| Authorized Official Contact | 6303574060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth H Peterson Dds Ltd 114 N Washington St Naperville IL 60540 Ph: (630) 357-4060 | Kenneth H Peterson Dds Ltd 114 N Washington St Naperville IL 60540 Ph: (630) 357-4060 |
| NPI Number | 1578674594 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578674594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |
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