JEROMY A PETERSON

POULSBO, WA
NPI1093817686
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE00008169)
Enumeration Date2006-09-02
Last Update Date2018-05-30
Business Address
JEROMY A PETERSON DDS PS
19301 8TH AVE NE
POULSBO, WA 98370
Phone number: 360-779-3958
Mailing Address
JEROMY A PETERSON DDS PS
19301 8TH AVE NE
POULSBO, WA 98370-6200
Phone number: 360-779-3958