| Peterson And Cammack, D.d.s., P.l.l.c | |
|
5201 Corporate Center Ct Se Lacey WA 98503-5901 | |
| (360) 459-4420 | |
| (360) 459-4425 |
| Full Name | Peterson And Cammack, D.d.s., P.l.l.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5201 Corporate Center Ct Se, Lacey, Washington |
| Authorized Official Name and Position | Venn Roger Peterson (PRESIDENT) |
| Authorized Official Contact | 3604594420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peterson And Cammack, D.d.s., P.l.l.c 5201 Corporate Center Ct Se Lacey WA 98503-5901 Ph: (360) 459-4420 | Peterson And Cammack, D.d.s., P.l.l.c 5201 Corporate Center Ct Se Lacey WA 98503-5901 Ph: (360) 459-4420 |
| NPI Number | 1437494036 |
|---|---|
| Provider Enumeration Date | 12/07/2012 |
| Last Update Date | 12/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437494036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00008985 (Washington) | Primary |
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