Venn R Peterson, D.D.S.

NPI #1679635056 in Lacey, Washington

Provider Information

NPI Number: 1679635056
Entity Type: Individual
Name: Venn R Peterson, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Dec 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5024 LACEY BLVD SE
City: Lacey
State: Washington
ZIP Code: 98503-5729
Phone: (360) 459-4420

Specialties & Taxonomy Codes

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

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