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Individual

DR. WILLIAM JAMES PETERSON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1540 140 AVE NE SUITE 101, BELLEVUE, WA 98005
(425) 502-9743
(425) 698-1580
Mailing address
1540 140 AVE NE SUITE 101, BELLEVUE, WA 98005
(425) 502-9743
(425) 698-1580

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008555
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5044821
WA
Enumeration date
07/06/2006
Last updated
12/16/2021
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