Peterson, Kyle W.

Peterson, Kyle W. is an individual health care provider with primary practice located at 609 22Nd St , Moline IL 61265-1450. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Peterson, Kyle W. can be contacted via phone (309) 797-2001.

Contact Information

Primary practice address
609 22Nd St Moline IL 61265-1450
Phone: (309) 797-2001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 08753 Iowa

Profile Details

NPI number 1285947259
LBN Legal business name Peterson, Kyle W.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2010
Last updated Sep 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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