JACOB DEAN PETERSON

CHEYENNE, WY
NPI1407613425
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WY  1679)
Enumeration Date2024-03-05
Last Update Date2024-07-10
Business Address
JACOB DEAN PETERSON DDS
1716 WARREN AVE
CHEYENNE, WY 82001-4538
Phone number: 307-632-0565
Mailing Address
JACOB DEAN PETERSON DDS
510 STAR VALLEY DR
CHEYENNE, WY 82009-8552
Phone number: 307-221-8090
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