| Peterson, Krische, Van Horn, Dds, Llc | |
|
2210 Yale Rd Lawrence KS 66049-2647 | |
| (785) 842-0705 | |
| (785) 865-2324 |
| Full Name | Peterson, Krische, Van Horn, Dds, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2210 Yale Rd, Lawrence, Kansas |
| Authorized Official Name and Position | Kent T Peterson (MANAGING PARTNER) |
| Authorized Official Contact | 7858420705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peterson, Krische, Van Horn, Dds, Llc 2210 Yale Rd Lawrence KS 66049-2647 Ph: (785) 842-0705 | Peterson, Krische, Van Horn, Dds, Llc 2210 Yale Rd Lawrence KS 66049-2647 Ph: (785) 842-0705 |
| NPI Number | 1417945544 |
|---|---|
| Provider Enumeration Date | 10/12/2005 |
| Last Update Date | 08/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417945544 | NPI | - | NPPES |
| 420744 | Other | KS | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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