# PETERSON AND SUNDE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669863668
- **Authorized official:** DR. WILLIAM JAMES PETERSON III D.D.S. (MEMBER)
- **Authorized official phone:** (425) 502-9743

## Contact information

- **Practice address:** 1540 140TH AVE NE, SUITE 101, BELLEVUE, WA 98005-4579
- **Practice address phone:** (425) 502-9743
- **Practice address fax:** (425) 698-1580
- **Mailing address:** 1540 140TH AVE NE, SUITE 101, BELLEVUE, WA 98005-4579
- **Mailing address phone:** (425) 502-9743
- **Mailing address fax:** (425) 698-1580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00008555 | WA | Yes |
| 1223G0001X | General Practice Dentistry | DE60383044 | WA | — |

## Other

- **Enumeration date:** 02/11/2015
- **Last updated:** 02/11/2015