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1083873400
PETERSON FAMILY DENTISTRY
BOISE, ID
NPI
1083873400
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Entity Type
Organization
Authorized Contact
JOHN G PETERSON
Dentist
208-375-0185
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: ID 3921)
Enumeration Date
2008-06-02
Last Update Date
2008-06-02
Business Address
PETERSON FAMILY DENTISTRY
9201 W OVERLAND RD
BOISE, ID 83709-2502
Phone number: 208-375-0185
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Mailing Address
PETERSON FAMILY DENTISTRY
9201 W OVERLAND RD
BOISE, ID 83709-2502
Phone number: 208-375-0185
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