Individual
DR. DALE REED PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
160 WAPATO WAY, MANSON, WA 98831
(509) 687-9221
(509) 687-9201
Mailing address
PO BOX 405, 160 WAPATO WAY, MANSON, WA 98831
(509) 687-9221
(509) 687-9201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5310
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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