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 Date2023-11-07
Business Address
NATHAN MICHAEL PETERSON DDS
452 CHENEY DR W STE 150
TWIN FALLS, ID 83301-4087
Phone number: 855-433-6825
Mailing Address
NATHAN MICHAEL PETERSON DDS
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 855-433-6825
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