Peterson, Mark Clayton

Peterson, Mark Clayton is an sole proprietor health care provider with primary practice located at 1600 W Sunset Rd Ste B , Henderson NV 89014-2655. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Peterson, Mark Clayton can be contacted via phone (702) 733-8341.

Contact Information

Primary practice address
1600 W Sunset Rd Ste B Henderson NV 89014-2655
Fax: (702) 733-2115
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X S6-12 Nevada

Profile Details

NPI number 1871702076
LBN Legal business name Peterson, Mark Clayton
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Jul 8th, 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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