Organization · Type 2 NPI

Jon E Peterson D.d.s. , Apc

Periodontics · San Diego, CA

NPI number 1386736445 Active

Practice location

4076 3rd Ave Ste 201
San Diego, CA 92103-2129

Call (619) 298-2322 Map

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X28790 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1386736445

Jon E Peterson D.d.s. , Apc's National Provider Identifier is 1386736445, issued on Sep 28, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in San Diego, CA. The record was last updated on Jul 16, 2013.