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Jon E Peterson D.d.s. , Apc
Periodontist in San Diego, California
NPI 1386736445

Jon E Peterson D.d.s. , Apc is a Periodontist based in San Diego, CA and is specialized in Periodontics. Jon E Peterson D.d.s. , Apc practices in San Diego, CA. The NPI Number for Jon E Peterson D.d.s. , Apc is 1386736445 and holds a License No. 28790 (California).

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

Location: 4076 3Rd Ave Ste 201, San Diego, CA, 92103-2129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386736445
Provider Name
Jon E Peterson D.d.s. , Apc
Credential
Provider Entity Type
Organization
Address
4076 3Rd Ave Ste 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 Ste 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 Ste 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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