Petersen, Alan Mark
Petersen, Alan Mark is an individual health care provider with primary practice located at 6755 E Superstition Springs Blvd Ste 201 , Mesa AZ 85206-4374. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Petersen, Alan Mark can be contacted via phone (480) 924-2880.Contact Information
Primary practice address
6755 E Superstition Springs Blvd Ste 201
Mesa AZ 85206-4374
Phone: (480) 924-2880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D7436 | Arizona |
Profile Details
| NPI number | 1952585507 |
|---|---|
| LBN Legal business name | Petersen, Alan Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2007 |
| Last updated | Dec 18th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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