DR. Samuel Petersen, DMD
NPI #1720571284 in Eagle, Idaho
Provider Information
- NPI Number
- 1720571284
- Entity Type
- Individual
- Name
- DR. Samuel Petersen, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jun 10, 2018
- Last Updated
- Feb 28, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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