Individual
DR. DAVID SHERWIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
509 WEST B. STREET, BOX 529, BASIN, WY 82410-0529
(307) 568-2487
Mailing address
PO BOX 529, 509 W. B. STREET, BASIN, WY 82410-0529
(307) 568-2487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1059
WY
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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