JACOB DEAN PETERSON

CASPER, WY
NPI1407613425
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WY  1679)
Enumeration Date2024-03-05
Last Update Date2025-01-29
Business Address
JACOB DEAN PETERSON DDS
5000 BLACKMORE RD
CASPER, WY 82609-3345
Phone number: 307-233-6000
Mailing Address
JACOB DEAN PETERSON DDS
5000 BLACKMORE RD
CASPER, WY 82609-3345
Phone number: 307-233-6000