Organization · Type 2 NPI

Mark E Peterson, DDS

General Practice Dentistry · Grand Rapids, MI

NPI number 1639638265 Active

About NPI 1639638265

Mark E Peterson, DDS's National Provider Identifier is 1639638265, issued on Mar 13, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 14, 2019.