Organization
PETERSEN AND WELLER DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE MARIE BEYER (FINANCIAL COORDINATOR)
(425) 485-6540
Entity
Organization
Contact information
Practice address
22833 BOTHELL EVERETT HWY SE, STE #205, BOTHELL, WA 98021
(425) 485-6540
(425) 486-1740
Mailing address
22833 BOTHELL EVERETT HWY SE, STE #205, BOTHELL, WA 98021
(425) 485-6540
(425) 486-1740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5471
WA
1223G0001X
General Practice Dentistry
8485
WA
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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