Individual
DR. DAVID EUGENE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17267 W 3RD ST, SDDC, REDFIELD, SD 57469-1001
(605) 472-4232
(605) 472-4439
Mailing address
16605 ASHTON DR, ASHTON, SD 57424-6105
(605) 472-2400
(605) 472-4439
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M-434
SD
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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