Peterson, Eric
Peterson, Eric is an sole proprietor health care provider with primary practice located at 710 N Beaver St Bldg 4 , Flagstaff AZ 86001-3139. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Peterson, Eric can be contacted via phone (928) 774-2745.Contact Information
Primary practice address
710 N Beaver St Bldg 4
Flagstaff AZ 86001-3139
Phone: (928) 774-2745
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D6362 | Arizona |
Profile Details
| NPI number | 1689832628 |
|---|---|
| LBN Legal business name | Peterson, Eric |
| Credentials | DDS MSD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2008 |
| Last updated | May 27th, 2008 - about 16 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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