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1114596673
NATHAN MICHAEL PETERSON
TWIN FALLS, ID
NPI
1114596673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-5290)
Enumeration Date
2021-06-20
Last Update Date
2023-11-07
Business Address
NATHAN MICHAEL PETERSON DDS
452 CHENEY DR W STE 150
TWIN FALLS, ID 83301-4087
Phone number: 855-433-6825
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Mailing Address
NATHAN MICHAEL PETERSON DDS
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 855-433-6825
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