# JULIAN PETERSEN DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smart Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316613193
- **Authorized official:** JULIAN F PETERSEN DDS (DENTIST/PROPRIETOR)
- **Authorized official phone:** (925) 548-5936

## Contact information

- **Practice address:** 3200 DUPORTAIL ST STE 105, RICHLAND, WA 99352-6105
- **Practice address phone:** (509) 492-2051
- **Mailing address:** 3200 DUPORTAIL ST STE 105, RICHLAND, WA 99352-6105
- **Mailing address phone:** (509) 492-2051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2021
- **Last updated:** 01/20/2022