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1619413093
SCOTT T PETERSON
LAVEEN, AZ
NPI
1619413093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: AZ D009577)
Enumeration Date
2017-01-10
Last Update Date
2017-01-10
Business Address
Dr. SCOTT T PETERSON D.M.D. M.S.
5235 W BASELINE RD #187
LAVEEN, AZ 85339-3122
Phone number: 602-605-8811
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Mailing Address
Dr. SCOTT T PETERSON D.M.D. M.S.
4216 S MARIPOSA DR
GILBERT, AZ 85297-5224
Phone number: 480-440-6923
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