# WILLIAM M. PETERSEN, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Old Firehouse Dental Office
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053521393
- **Authorized official:** DR. WILLIAM MARC PETERSEN D.D.S. (PRESIDENT)
- **Authorized official phone:** (509) 325-4227

## Contact information

- **Practice address:** 2532 W FRANCIS AVE, SPOKANE, WA 99205-7012
- **Practice address phone:** (509) 325-4227
- **Practice address fax:** (509) 326-7180
- **Mailing address:** 2532 W FRANCIS AVE, SPOKANE, WA 99205-7012
- **Mailing address phone:** (509) 325-4227
- **Mailing address fax:** (509) 326-7180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 06/17/2008