| NPI | 1215619945 |
|---|---|
| Doing Business As | PETERSEN ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | ARIC PETERSEN Owner 314-780-7802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |