DR. GRANT PETERSEN, D.D.S.
Dentist
Active
Individual
NPI: 1790031128
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | DEN.00201800 (CO) |
Frequently Asked Questions
NPI 1790031128 is the National Provider Identifier for DR. GRANT PETERSEN, D.D.S., a Dentist provider located in Fort Wainwright, AK. This NPI was enumerated on August 3, 2012.
DR. GRANT PETERSEN, D.D.S. practices at 1060 GAFFNEY RD STOP 7500, Fort Wainwright, AK 99703.
Quick Facts
- NPI
- 1790031128
- Type
- Individual
- Enumerated
- Aug 3, 2012
- Last Updated
- Jul 16, 2013
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