DOUGLAS DON PETERSON

LAKE WORTH, FL
NPI1952520710
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  9930)
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
-- DOUGLAS DON PETERSON dds
2411 10TH AVE N
LAKE WORTH, FL 33461-3128
Phone number: 561-966-9557
Mailing Address
-- DOUGLAS DON PETERSON dds
2411 10TH AVE N
LAKE WORTH, FL 33461-3128
Phone number: 561-966-9557