DR. Dale Robert Peterson, D.D.S.

NPI #1164552048 in Lander, Wyoming

Provider Information

NPI Number: 1164552048
Entity Type: Individual
Name: DR. Dale Robert Peterson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 555 S 5TH ST
City: Lander
State: Wyoming
ZIP Code: 82520-3245
Phone: (307) 332-9193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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