DR. Dale Reed Peterson, DDS

NPI #1265543573 in Manson, Washington

Provider Information

NPI Number: 1265543573
Entity Type: Individual
Name: DR. Dale Reed Peterson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 160 WAPATO WAY
City: Manson
State: Washington
ZIP Code: 98831
Phone: (509) 687-9221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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