BRYAN JAMES PETERSEN

GRANGEVILLE, ID
NPI1205994373
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D-3101)
Enumeration Date2006-12-04
Last Update Date2007-07-08
Business Address
Dr. BRYAN JAMES PETERSEN D.D.S.
120 N A ST
GRANGEVILLE, ID 83530-1211
Phone number: 208-983-1651
Mailing Address
Dr. BRYAN JAMES PETERSEN D.D.S.
216 S COLLEGE ST
GRANGEVILLE, ID 83530-1922
Phone number: 208-983-2145