NATHAN MICHAEL PETERSON

TWIN FALLS, ID
NPI1114596673
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-5290)
Enumeration Date2021-06-20
Last Update Date2025-05-04
Business Address
NATHAN MICHAEL PETERSON DDS
2174 CANYON PLAZA DR STE 100
TWIN FALLS, ID 83301-4513
Phone number: 208-735-1415
Mailing Address
NATHAN MICHAEL PETERSON DDS
3842 SUSAN CIR E
HANSEN, ID 83334-5502
Phone number: 801-875-1560