JOHN CONRAD PETERSON

OCEANSIDE, NY
NPI1881703700
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  029836-1)
Enumeration Date2006-08-30
Last Update Date2015-03-23
Business Address
-- JOHN CONRAD PETERSON D.D.S.
2983 LONG BEACH RD
OCEANSIDE, NY 11572-3204
Phone number: 516-536-5777
Mailing Address
-- JOHN CONRAD PETERSON D.D.S.
2983 LONG BEACH RD
OCEANSIDE, NY 11572-3204
Phone number: 516-536-5777