NATHANIEL J PETERSON

EDWARDSVILLE, IL
NPI1871489047
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019036159)
Enumeration Date2025-06-16
Last Update Date2025-06-16
Business Address
Dr. NATHANIEL J PETERSON DMD
1403B TROY RD STE B
EDWARDSVILLE, IL 62025-2532
Phone number: 618-656-2277
Mailing Address
Dr. NATHANIEL J PETERSON DMD
837 MADISON AVE
EDWARDSVILLE, IL 62025-2323
Phone number: 630-618-9211