Search › Illinois › 122300000X
Kyle Peterson, DDS
NPI 1285947259 · on the registry since 2010
Practice
- Address
- 609 22nd St
Moline, IL 61265 - Phone
- (309) 797-2001
- Organisation at this address
- Riverside Dentistry, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-21
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 Illinois