Individual
DR. KURT EDWARD PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1604 W RIVERSIDE AVE, SPOKANE, WA 99201
(509) 747-2183
(509) 747-3990
Mailing address
1604 W RIVERSIDE AVE, SPOKANE, WA 99201
(509) 747-2183
(509) 747-3990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5608
WA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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