DR. WAYNE PETERSON, DMD

Dentist - General Practice

Active Individual
NPI: 1235179466

Practice Address

1138 W A ST
Moscow, ID 83843

Phone: (208) 882-9310

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes D-1686 (ID)

Frequently Asked Questions

NPI 1235179466 is the National Provider Identifier for DR. WAYNE PETERSON, DMD, a Dentist - General Practice provider located in Moscow, ID. This NPI was enumerated on June 7, 2006.
DR. WAYNE PETERSON, DMD practices at 1138 W A ST, Moscow, ID 83843.

Quick Facts

NPI
1235179466
Type
Individual
Enumerated
Jun 7, 2006
Last Updated
Jul 8, 2007

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