DOUGLAS PETERSON, DMD

Dentist

Active Individual
NPI: 1003813445

Practice Address

263 FARMINGTON AVE
Farmington, CT 06030

Phone: (860) 679-2952

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X No 007480 (CT)
Dentist 122300000X Yes 007480 (CT)

Frequently Asked Questions

NPI 1003813445 is the National Provider Identifier for DOUGLAS PETERSON, DMD, a Dentist provider located in Farmington, CT. This NPI was enumerated on June 30, 2005.
DOUGLAS PETERSON, DMD practices at 263 FARMINGTON AVE, Farmington, CT 06030.

Quick Facts

NPI
1003813445
Type
Individual
Enumerated
Jun 30, 2005
Last Updated
May 12, 2021

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