Individual provider · Type 1 NPI

Benjamin Robert Peterson, DDS

General Practice Dentistry · Waterloo, IA

NPI number 1801052915 Active

About NPI 1801052915

Benjamin Robert Peterson, DDS's National Provider Identifier is 1801052915, issued on Jul 29, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Waterloo, IA. The record was last updated on Oct 4, 2010.