TAYNE PETERSON
Dentist - General Practice
Active
Individual
NPI: 1952960205
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | D-5401 (ID) |
Frequently Asked Questions
NPI 1952960205 is the National Provider Identifier for TAYNE PETERSON, a Dentist - General Practice provider located in Burley, ID. This NPI was enumerated on June 11, 2019.
TAYNE PETERSON practices at 2200 PARK AVE STE 2, Burley, ID 83318.
Quick Facts
- NPI
- 1952960205
- Type
- Individual
- Enumerated
- Jun 11, 2019
- Last Updated
- Sep 7, 2022
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