Mark E Peterson, DDS
Mark E Peterson, DDS is a General Practice Dentistry in Grand Rapids, Michigan. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
2440 Gaynor Ave NWGrand Rapids, MI 49544-1830
Phone: (616) 784-8444
Fax: (616) 784-6912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1639638265 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Peterson — Dentist · (616) 784-8444 |
| NPI enumerated | March 13, 2019 |
| Last updated in NPPES | March 14, 2019 |
| Mailing address | 2440 Gaynor Ave Nw, Grand Rapids, MI 49544-1830 |
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