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1194848655
DAVID G PETERSEN
SPOKANE, WA
NPI
1194848655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00004125)
Enumeration Date
2007-04-09
Last Update Date
2007-07-09
Business Address
-- DAVID G PETERSEN D.D.S.
123 W FRANCIS AVE STE 104
SPOKANE, WA 99205-6348
Phone number: 509-483-3332
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Mailing Address
-- DAVID G PETERSEN D.D.S.
123 W FRANCIS AVE STE 104
SPOKANE, WA 99205-6348
Phone number: 509-483-3332
Copy
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