JUSTIN THOMAS PETERSON

SAINT ANTHONY, ID
NPI1386955029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D4293)
Enumeration Date2010-06-28
Last Update Date2022-05-17
Business Address
DR. JUSTIN THOMAS PETERSON D.D.S.
325 E MAIN ST
SAINT ANTHONY, ID 83445-1546
Phone number: 208-356-4900
Mailing Address
DR. JUSTIN THOMAS PETERSON D.D.S.
PO BOX 18
SAINT ANTHONY, ID 83445-0018
Phone number: 208-356-4900
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