Peterson, Kevin L

Peterson, Kevin L is an individual health care provider with primary practice located at 1 Brookline Pl Suite 505, Brookline MA 02445-7224. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Peterson, Kevin L can be contacted via phone (617) 735-8500.

Contact Information

Primary practice address
1 Brookline Pl Suite 505 Brookline MA 02445-7224
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 19670 Massachusetts

Profile Details

NPI number 1699789115
LBN Legal business name Peterson, Kevin L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 17 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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