Organization
PETERSON AND SUNDE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JAMES PETERSON III D.D.S. (MEMBER)
(425) 502-9743
Entity
Organization
Contact information
Practice address
1540 140TH AVE NE, SUITE 101, BELLEVUE, WA 98005-4579
(425) 502-9743
(425) 698-1580
Mailing address
1540 140TH AVE NE, SUITE 101, BELLEVUE, WA 98005-4579
(425) 502-9743
(425) 698-1580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008555
WA
1223G0001X
General Practice Dentistry
DE60383044
WA
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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