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Organization
PETERSON DENTAL
Active
Organization
PETERSON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT PETERSON DDS (OWNER)
(509) 747-2183
Entity
Organization
Contact information
Practice address
1604 W RIVERSIDE AVE, SPOKANE, WA 99201-1206
(509) 747-2183
(509) 747-3990
Mailing address
1604 W RIVERSIDE AVE, SPOKANE, WA 99201-1206
(509) 747-2183
(509) 747-3990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5608
WA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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