| Peterson Dental | |
|
1604 W Riverside Ave Spokane WA 99201-1206 | |
| (509) 747-2183 | |
| (509) 747-3990 |
| Full Name | Peterson Dental |
|---|---|
| Speciality | Dentist |
| Location | 1604 W Riverside Ave, Spokane, Washington |
| Authorized Official Name and Position | Kurt Peterson (OWNER) |
| Authorized Official Contact | 5097472183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peterson Dental 1604 W Riverside Ave Spokane WA 99201-1206 Ph: (509) 747-2183 | Peterson Dental 1604 W Riverside Ave Spokane WA 99201-1206 Ph: (509) 747-2183 |
| NPI Number | 1841746476 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841746476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5608 (Washington) | Primary |
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