Provider Demographics
NPI:1437513256
Name:PETER R BOND DDS MS
Entity Type:Organization
Organization Name:PETER R BOND DDS MS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:R
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:760-743-7176
Mailing Address - Street 1:925 E PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE I
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-3432
Mailing Address - Country:US
Mailing Address - Phone:760-743-7176
Mailing Address - Fax:
Practice Address - Street 1:925 E PENNSYLVANIA AVE
Practice Address - Street 2:SUITE I
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3432
Practice Address - Country:US
Practice Address - Phone:760-743-7176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty