Peterson & Swartz Dds, Pllc

NPI 1225444888 - Dentist - 1223G0001X

NPI Details
NPI 1225444888
Enumeration Date 07/03/2014
Last Updated 07/03/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GREGORY TAYLOR GREGORY
Position OWNER
Phone (701) 428-1730
Fax
Practice Location
10479 N. HIGHWAY 109
SUITE 107 B
WINSTON SALEM NC, 27107-9884, US
Phone (701) 428-1730
Fax
Business Location
10479 N. HIGHWAY 109
SUITE 107 B
WINSTON SALEM NC, 27107-9884, US
Phone (701) 428-1730
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State North Carolina
License Number 7494
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According to our database, Peterson & Swartz Dds, Pllc NPI is 1225444888, taxonomy code is 1223G0001X and license number is 7494, license state is located at North Carolina. Peterson & Swartz Dds, Pllc physically located at 10479 N. Highway 109, Winston Salem NC, 27107-9884. NPI Number 1033115704 has the healthcare provider type.

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1225444888 NPI number is provided on an as is basis without warranty of any kind. 1225444888 is maintained by the National Plan & Provider Enumeration System. The contents of Peterson & Swartz Dds, Pllc are for informational purposes only.