Venn R. Peterson, D.d.s., Inc.

NPI #1962695015 in Lacey, Washington

Provider Information

NPI Number: 1962695015
Entity Type: Organization
Organization Name: Venn R. Peterson, D.d.s., Inc.
Primary Specialty: Dentist
Enumeration Date: Aug 22, 2007
Last Updated: Aug 22, 2007

Practice Location

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

Authorized Official

Name: VENN R PETERSON, D.D.S.
Title: DENTIST
Phone: (360) 459-4420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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