Marcus E Peterson, DDS

NPI #1659474005 in Rupert, Idaho

Provider Information

NPI Number
1659474005
Entity Type
Individual
Name
Marcus E Peterson, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Sep 7, 2006
Last Updated
Apr 13, 2021

Practice Location

Address
402 6TH ST
City
Rupert
State
Idaho
ZIP Code
83350-1619
Phone
(208) 650-7941

Specialties & Taxonomy Codes

Specialty
Dentist

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