Peterson and Cammack, D.d.s., P.l.l.c

NPI #1437494036 in Lacey, Washington

Provider Information

NPI Number: 1437494036
Entity Type: Organization
Organization Name: Peterson and Cammack, D.d.s., P.l.l.c
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 7, 2012
Last Updated: Dec 7, 2012

Practice Location

Address: 5201 CORPORATE CENTER CT SE
City: Lacey
State: Washington
ZIP Code: 98503-5901
Phone: (360) 459-4420

Authorized Official

Name: DR. VENN ROGER PETERSON, D.D.S.
Title: PRESIDENT
Phone: (360) 459-4420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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