Peterson, Lesilie A

Peterson, Lesilie A is an individual health care provider with primary practice located at 1905 E Mckellips Rd , Mesa AZ 85203-2865. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Peterson, Lesilie A can be contacted via phone (480) 649-1949.

Contact Information

Primary practice address
1905 E Mckellips Rd Mesa AZ 85203-2865
Phone: (480) 649-1949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 1952 Arizona

Profile Details

NPI number 1457572828
LBN Legal business name Peterson, Lesilie A
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 19 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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