Individual
MR. STEVEN R PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSE DENTURIST
Contact information
Practice address
3100 SE OLD OLYMPIC HWY, SHELTON, WA 98584
(360) 427-1784
(360) 427-1818
Mailing address
3100 SE OLD OLYMPIC HWY, SHELTON, WA 98584
(360) 427-1784
(360) 427-1818
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000236
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5040365
—
WA
Enumeration date
11/15/2006
Last updated
08/07/2012
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