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Jon E Peterson, DDS
Periodontist in San Diego, California
NPI 1285726380

Jon E Peterson is a Periodontist based in San Diego, CA and is specialized in Periodontics. Jon E Peterson practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Jon E Peterson is 1285726380 and holds a License No. 28790 (California).

The current practice location address for Jon E Peterson is 4076 3Rd Ave # Su.201, San Diego, CA and can be reached out via phone at 619-298-2322.

Location: 4076 3Rd Ave # Su.201, San Diego, CA, 92103-2129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285726380
Provider Name
Jon E Peterson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4076 3Rd Ave # Su.201, San Diego, CA, 92103-2129
Phone Number
619-298-2322
Fax Number
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4076 3Rd Ave # Su.201
City
San Diego
State
California
Zip
92103-2129
Phone Number
619-298-2322
Fax Number
person
Provider Business Mailing Address Details
Address
4076 3Rd Ave # Su.201
City
San Diego
State
California
Zip
92103-2129
Phone Number
619-298-2322
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
28790 (California)
Definition
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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