Organization
JULIAN PETERSEN DDS PLLC
Active
Other names
Smart Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN F PETERSEN DDS (DENTIST/PROPRIETOR)
(925) 548-5936
Entity
Organization
Contact information
Practice address
3200 DUPORTAIL ST STE 105, RICHLAND, WA 99352-6105
(509) 492-2051
Mailing address
3200 DUPORTAIL ST STE 105, RICHLAND, WA 99352-6105
(509) 492-2051
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
01/20/2022
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