Search › Iowa › 1223G0001X
Benjamin Peterson, DDS
NPI 1801052915 · on the registry since 2008
Practice
- Address
- 424 South St.
Waterloo, IA 50701 - Phone
- (319) 234-2684
- Fax
- (319) 233-5974
- Organisation at this address
- William C. Bolick D.Ds L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
122300000X - Licence states on file
- MN, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-10-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa