Individual
DR. WILLIAM MARC PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, P.C.
Contact information
Practice address
2532 W FRANCIS AVE, SPOKANE, WA 99205-7012
(509) 325-4227
(509) 326-7180
Mailing address
2532 W FRANCIS AVE, SPOKANE, WA 99205-7012
(509) 325-4227
(509) 326-7180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00003491
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE00003491
STATE OF WASHINGTON LIC.#
WA
Enumeration date
02/28/2007
Last updated
07/08/2007
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