WAYNE R PETERSON

BOISE, ID
NPI1194803577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D-3654)
Enumeration Date2006-11-01
Last Update Date2015-02-04
Business Address
DR. WAYNE R PETERSON D.M.D.
2427 N COLE RD
BOISE, ID 83704-5907
Phone number: 208-322-8877
Mailing Address
DR. WAYNE R PETERSON D.M.D.
3200 S WADSWORTH BLVD UNIT E
LAKEWOOD, CO 80227-5010
Phone number: 303-716-8546
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