JOSHUA PETERSEN

RAPID CITY, SD
NPI1508424680
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SD  D1231)
Enumeration Date2019-06-03
Last Update Date2019-06-03
Business Address
Dr. JOSHUA PETERSEN
1687 TABLEROCK RD
RAPID CITY, SD 57701-5495
Phone number: 605-342-6652
Mailing Address
Dr. JOSHUA PETERSEN
1687 TABLEROCK RD
RAPID CITY, SD 57701-5495
Phone number: