JOHN GREGORY PETERSON

BOISE, ID
NPI1295875953
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D-3921)
Enumeration Date2007-02-08
Last Update Date2007-07-08
Business Address
Dr. JOHN GREGORY PETERSON DMD
9201 W OVERLAND RD
BOISE, ID 83709-2502
Phone number: 208-375-0185
Mailing Address
Dr. JOHN GREGORY PETERSON DMD
9201 W OVERLAND RD
BOISE, ID 83709-2502
Phone number: 208-375-0185