Provider Demographics
NPI:1699880005
Name:BOND, PETER ROBERT (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:ROBERT
Last Name:BOND
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA514491223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry